JON K HATHAWAY (MD) – Obstetrics & Gynecology Physician, NPI 1033147590
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for JON K HATHAWAY (MD)
1701 N Senate Blvd
Indianapolis, IN 462021239
Phone: (888) 484-3258
Type: Location
6940 Michigan Rd Ste 140
Indianapolis, IN 462682800
Phone: (317) 266-2901
Type: Location
PO BOX 44730
INDIANAPOLIS, IN 462440730
Phone: (317) 274-7879
Fax: (317) 278-9918
Type: Mailing
IU Health University Hospital, 550, University Boulevard, Historic Ransom Place, Indianapolis, Marion, Indiana, 46202, United States
INDIANAPOLIS, IN 462025149
Phone: (317) 274-1661
Fax: (317) 278-9918
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061220000067 | I | Obstetrics/Gynecology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | OH | |
| Otolaryngology, Plastic And Reconstructive Surgery | IN | |
| A N E S T H E S I O L O G Y | KY | |
| Anesthesiology Assistant | IN | |
| Emergency Medicine, Pediatric Medicine | IN | |
| General Surgery | IN | |
| Neurology, Epileptologists | IN | |
| U R O L O G Y | OH |
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