DR. KAREN ANN TISINAI M.D.
NPI 1396749966
Surgery in Terre Haute, IN
NPI Status: Active since June 10, 2005
Contact Information
1429 N 6TH ST
TERRE HAUTE, IN
ZIP 47807
Phone: (812) 242-3110
Fax: (812) 242-3795
- Individual
- Female
- Surgery
- Accepts Insurance
About KAREN TISINAI
This page provides the complete NPI Profile along with additional information for Karen Tisinai, a provider established in Terre Haute, Indiana with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1396749966 assigned on June 2005. The practitioner's primary taxonomy code is 208600000X with license number 01039405A (IN). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1396749966
- Provider Name
- DR. KAREN ANN TISINAI M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1429 N 6TH ST TERRE HAUTE, IN 47807
- Location Phone
- (812) 242-3110
- Location Fax
- (812) 242-3795
- Mailing Address
- 221 S 6TH ST TERRE HAUTE, IN 47807
- Mailing Phone
- (812) 242-3110
- Mailing Fax
- (812) 242-3795
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2005
- Last Update Date
- 03-14-2013
- Code Navigator
A surgeon like Karen Tisinai treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01039405A
- License State
- IN
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000384161 | OTHER (01) | ANTHEM | |
| E90718 | MEDICARE UPIN (02) | ||
| 351904269208 | MEDICAID (05) | IN | |
| 859910MMMM | MEDICARE PIN (08) | IN | |
| P00315180 | OTHER (01) | RAILROAD MEDICARE PIN | |
| 100177110T | MEDICAID (05) | IN | |
| 100177110A | MEDICAID (05) | IN | |
| 265130SSS | MEDICARE PIN (08) | IN | |
| P00834925 | OTHER (01) | IN | RAILROAD MEDICARE |
| 192770FFFF | MEDICARE PIN (08) | IN |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 10-19 minutes
New patient office or other outpatient visit, 30-44 minutes
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 24 times for 16 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 18 times for 18 patientsReviews for DR. KAREN ANN TISINAI M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396749966, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TERRE HAUTE, IN 47807
TERRE HAUTE, IN 47807
TERRE HAUTE, IN 47807
TERRE HAUTE, IN 47807
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396749966, enumerated as an "individual" on June 10, 2005.
The provider is located at 1429 N 6TH ST TERRE HAUTE, IN 47807 and the phone number is (812) 242-3110.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: CareSource, Anthem Blue Cross, Medicare, Medicaid. Please consult your insurance carrier or call the provider to verify.
