KIM STACI HARRIS M.D.
NPI 1609195783
Obstetrics & Gynecology in Indianapolis, IN

Q: What is Kim Harris's NPI number?

The NPI number for Kim Harris is 1609195783. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Q: What is Kim Harris's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Harris was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment

7120 CLEARVISTA DR STE 2000, INDIANAPOLIS, IN 46256(317) 621-7120(317) 621-7119 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2020, Sep 14, 2017 (2 updates tracked since 2017).

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About Kim Staci Harris M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM STACI HARRIS M.D. (NPI 1609195783) is an individual obstetrics & gynecology provider in Indianapolis, Indiana, licensed in Indiana (01074392A) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Community Hospital North, and is a graduate of Indiana University School Of Medicine (2010).

NPPES Registry Identity

NPI1609195783

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKIM STACI HARRISCredential: M.D.

Location Address7120 CLEARVISTA DR STE 2000Indianapolis, IN 46256-1621

Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805

Phone(317) 621-7120

Fax(317) 621-7119

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2010

Enumeration DateMay 27, 2010

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1609195783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01074392A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7120 CLEARVISTA DR STE 2000, Indianapolis, IN 46256

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Other Identifiers 2

Medicaid201095980IN

OtherP01424352IN · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Staci Harris M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456579275

PECOS Enrollment IDI20140820000472

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA LEE MERKEL PA-C

Physician Assistant