Active NPI
Fardad Massoumi Bavil, MD
- Family Medicine Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01065755A
- Practice address
- 7905 Calumet Ave
Munster, IN 46321-2549 - Phone
- (219) 836-3049
- Fax
- (219) 836-7295
- NPI assigned
- Sep 28, 2007
- Last updated
- Jun 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01065755A | IN | Primary |
Addresses
Primary practice location
7905 Calumet Ave
Munster, IN 46321-2549
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200932220 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fmassoumibavil4068@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5500 Hohman Ave
Suite 2a
Hammond, IN 46320-1942
Phone (219) 852-1505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Family Medicine | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Healthpartners Medical Group, LLC | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
5500 Hohman Ave
Ste 2A
Hammond, IN 46320
Phone (214) 933-6642
5530 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2018
7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800
10860 Maple Ln
Saint John, IN 46373
Phone (219) 365-7000
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Networks
- IL PPO Downstate
- KY PPO
- IL HMO C-SNP
- KY PPO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- OH PPO
Interoperability endpoints
- fmassoumibavil4068@direct.franciscanalliance.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
dba Franciscan Immediate Care
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1366879009
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
dba HealthPartners
- Multi-Specialty Clinic/Center
- Michigan City, IN
- NPI 1013014158
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Franciscan Home Care
- Home Health Agency
- Hobart, IN
- NPI 1144225491
-
dba Franciscan Health Dyer
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
dba Home Health of St Mary Medical Center
- Home Health Agency
- Hobart, IN
- NPI 1528160736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1013104546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212549",
"telephone_number": "219-836-3049",
"fax_number": "219-836-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSOUMI BAVIL",
"first_name": "FARDAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-28",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01065755A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200932220",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fmassoumibavil4068@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7905 Calumet Ave",
"city": "Munster",
"state": "IN",
"country_code": "US",
"postal_code": "463212549",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.