| NPI | 1093040719 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-10-14 |
| Last Updated | 2022-01-13 |
| Authorized Official | Balagopal Keralavarma owner Phone: 2197424237 |
| Mailing Address | 8554 Broadway Merrillville, IN 46410-7032 United States Phone: (219) 750-9581 | Fax: (219) 750-9781 📍 View Map |
| Primary Practice Address | 8554 Broadway Merrillville, IN 46410-7032 United States Phone: (219) 750-9581 | Fax: (219) 750-9781 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IN | 201001720A | — |
| Other (non-Medicare) | IL | 90001550 | BSIL |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RH0003X – Internal Medicine, Hematology & Oncology | IN | 01052677A |
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About NPI 1093040719
Cancer Care Consultants, Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093040719. The primary specialty listed is Internal Medicine, Hematology & Oncology. The organization is located in Merrillville, IN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-10-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093040719?
NPI 1093040719 belongs to Cancer Care Consultants, Pc, a Internal Medicine, Hematology & Oncology in Merrillville, IN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093040719 active?
The current status of NPI 1093040719 in the NPPES registry is Active. The record was last updated on 2022-01-13.
What specialty is NPI 1093040719?
NPI 1093040719 is classified under the taxonomy Internal Medicine, Hematology & Oncology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093040719?
You can verify NPI 1093040719 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093040719?
The primary practice address on file for NPI 1093040719 is 8554 Broadway, Merrillville, IN 46410-7032. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093040719 issued?
NPI 1093040719 was first issued (enumerated) on 2009-10-14. The NPPES record was last updated on 2022-01-13.
Practice Location Map
Cancer Care Consultants, Pc is located at 8554 Broadway, Merrillville, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Cancer Care Consultants, Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093040719. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Hematology & Oncology | 01052677A | IN |