Rafat H Ansari, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

01028409A Issued in IN

Practice address

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470

Phone

(574) 234-5123

Fax

(574) 282-2813

NPI assigned

Jun 13, 2005

Last updated

Jan 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michiana Hematology-Oncology P C

  • Medical Oncology Physician
  • Mishawaka, IN
  • NPI 1619970183

  Hematology & Oncology

  Medicare reassignment NPD
• Michiana Hematology-Oncology P C

  • Hematology & Oncology Physician
  • Westville, IN
  • NPI 1881733293
  Authorized official Same address or phone
• Michiana Hematology Oncology of Michigan, P.C.

  • Hematology & Oncology Physician
  • Niles, MI
  • NPI 1235134461
  NPD (past) Authorized official
• Michiana Hematology Oncology of Michigan, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Niles, MI
  • NPI 1295874014
  Authorized official Same address or phone
• Cancer Specialists LLC

  dba Cancer Specialists of Indiana

  • Medical Oncology Physician
  • Valparaiso, IN
  • NPI 1336607555
  NPD
• Michiana Hematology-Oncology P C

  • Hematology & Oncology Physician
  • Plymouth, IN
  • NPI 1487793873
  NPD

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1013911593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WAYNE ST STE 510",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012349",
            "telephone_number": "574-334-5390",
            "fax_number": "574-334-5368"
        },
        {
            "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": "574-234-5123",
            "fax_number": "574-282-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "RAFAT",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01028409A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301052476",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01028409A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-BCBS",
            "identifier": "000000086654",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100222840A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4795726",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hari Priya Anne, DDS
• Christy Lynn Annis, M.D.
• Bilal Ansari, M.D.
• Muhammad Shahzad Mumtaz Ansari, M.D.
• Ophelia Ansari
• Apex Healthcare Group PC
• Christine Lybb Aragon, OTR
• Muhammad S. Arain, MD
• Arcadia Healthcare Solutions, Inc.
• Christopher Armentrout, LCSW

• Medical Oncology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Medical Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.