HAROLD A JR. BIVINS (MD) – Maternal & Fetal Medicine Physician, NPI 1841239753
Maternal & Fetal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for HAROLD A JR. BIVINS (MD)
8081 TOWNSHIP LINE RD STE 200
INDIANAPOLIS, IN 462602188
Phone: (317) 415-8070
Type: Location
11123 Parkview Plaza Dr Ste 204
Fort Wayne, IN 468451707
Phone: (260) 266-8380
Fax: (260) 266-8385
Type: Location
8081 Township Line Rd Ste 200
Indianapolis, IN 462602188
Phone: (317) 415-8070
Type: Location
14710 BRUCE B DOWNS BLVD
TAMPA, FL 336132800
Phone: (813) 738-6691
Fax: (813) 816-0327
Type: Location
300 North Meridian, 300, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States
CARMEL, IN 462901024
Phone:
Type: Mailing
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: 2024-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20110225000131 | I | Obstetrics/Gynecology | IN | TBD |
| I20201111001765 | I | Obstetrics/Gynecology | TN | TBD |
| I20240112001534 | I | Obstetrics/Gynecology | WI | TBD |
| I20240119002972 | I | Obstetrics/Gynecology | FL | 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 46260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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