Michiana Hematology-Oncology P C

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

MICHIANA HEMATOLOGY-ONCOLOGY P C

Practice address

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470

Phone

(574) 237-1328

Fax

(574) 968-8488

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Bilal Ansari, MD

Title

President

Phone

(574) 261-0794

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Michiana Hematology-Oncology P C

  • Medical Oncology Physician
  • Mishawaka, IN
  • NPI 1619970183

  3375513419

  Same PAC ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin T Zon, M.D.

  • Medical Oncology Physician
  • Mishawaka, IN
  • NPI 1891799391

  Hematology & Oncology

  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1003955485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746092",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746092",
            "telephone_number": "574-237-1328",
            "fax_number": "574-237-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-237-1328",
            "fax_number": "574-968-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA HEMATOLOGY-ONCOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-261-0794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "CB5227",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1560285",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1176700001",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michiana Chiropractic Center
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• Michiana Eye Center LLC
• Michiana Eye Institute LLC
• Michiana Hematology-Oncology P C
• Michiana Hematology-Oncology P C
• Michiana Hematology-Oncology P C
• Michiana Hematology-Oncology P C
• Michiana Interventional and Vascular Services, LLC

• Hematology & Oncology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.