Active NPI
Krishnakant Raiker MD PC
- Cardiovascular Disease Physician
- Munster, IN
National Provider Identifier
1033127691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01042561
- Legal business name
- KRISHNAKANT RAIKER MD PC
- Practice address
- 9038 Columbia Ave
Suite B
Munster, IN 46321-2905 - Phone
- (219) 836-8106
- Fax
- (219) 836-5774
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristine K Vraniskoski
- Title
- Office Manager
- Phone
- (219) 836-8106
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01047569 | IN | |
| Family Medicine Physician | 207Q00000X | 036100077 | IL | |
| Internal Medicine Physician | 207R00000X | 01042561 | IN | |
| Internal Medicine Physician | 207R00000X | 036097164 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 01042561 | IN | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 036097164 | IL |
Addresses
Primary practice location
9038 Columbia Ave
Suite B
Munster, IN 46321-2905
Mailing address
9038 Columbia Ave
Suite B
Munster, IN 46321-2905
Phone (219) 836-8106
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200835220A | Medicaid | IN | |
| DF2414 | Other | IN | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
9038 Columbia Ave
#B
Munster, IN 46321
Phone (219) 836-5758
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Munster, IN
- NPI 1124036769
Internal Medicine
-
- Internal Medicine Physician
- Summit, WI
- NPI 1124132188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1033127691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9038 COLUMBIA AVE",
"address_2": "SUITE B",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212905",
"telephone_number": "219-836-8106",
"fax_number": "219-836-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9038 COLUMBIA AVE",
"address_2": "SUITE B",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212905",
"telephone_number": "219-836-8106",
"fax_number": "219-836-5774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISHNAKANT RAIKER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "VRANISKOSKI",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "219-836-8106",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "01047569",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": "036100077",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IN",
"license": "01042561",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036097164",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01042561",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036097164",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200835220A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF2414",
"state": "IN"
}
],
"endpoints": [],
"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 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.