IndividualActive
Hari Gourabathini, M.D
NPI 1184012130 · Pediatric Critical Care Medicine Physician · South Bend, IN
Provider details
- NPI number
- 1184012130
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01074968A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
615 N Michigan St 5th Fl
South Bend, IN 46601-1033
Phone: (574) 647-7275
Fax: (574) 647-3696
Street-level locationGet directions
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Additional practice locations (1)
- 11115 Parkview Plaza DrFort Wayne, IN 46845-1701Phone: (260) 266-5400Fax: (260) 425-6745
Registry dates
- Enumerated
- 2014-12-29
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.