Organization Active NPI

Indiana Allergy and Asthma LLC

  • Allergy & Immunology Physician
  • Merrillville, IN
National Provider Identifier
1003405762
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
INDIANA ALLERGY AND ASTHMA LLC
Practice address
9012 Connecticut St
Merrillville, IN 46410-7057
Phone
(219) 769-6177
NPI assigned
Jan 15, 2021
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pooja Oza Patel, MDNPI 1841585692
Title
Physician
Phone
(847) 361-3602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

9012 Connecticut St
Merrillville, IN 46410-7057

Mailing address

9012 Connecticut St
Merrillville, IN 46410-7057
Phone (219) 769-6177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210506001858 IN Part B Supplier - Clinic/Group Practice 5890104657 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory

Locations

9012 Connecticut St
Merrillville, IN 46410
Phone (219) 769-6177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1003405762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 CONNECTICUT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107057",
            "telephone_number": "219-769-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 CONNECTICUT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107057",
            "telephone_number": "219-769-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA ALLERGY AND ASTHMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "POOJA",
        "authorized_official_middle_name": "OZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-361-3602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.