Individual provider Active NPI

Lourdu S Savariar, MD

  • Pediatrics Physician
  • Huntington, IN
National Provider Identifier
1063475853
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01043689A Issued in IN
Practice address
2814 Theater Ave
Pediatric Medical Group Inc
Huntington, IN 46750-7978
Phone
(260) 356-3611
Fax
(260) 358-4263
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01043689A IN Primary

Addresses

Primary practice location

2814 Theater Ave
Pediatric Medical Group Inc
Huntington, IN 46750-7978

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other identifiers 2

IdentifierTypeStateIssuer
01043689AOtherINLICENSE
200039690AMedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lsavariar8816@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111001366 IN Practitioner - Pediatric Medicine 1759576028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Pediatrics CurrentSince Jan 1, 2018 Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

2814 Theater Ave
Huntington, IN 46750
Phone (260) 356-3611

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

Interoperability endpoints

  • Direct secure messaging: lsavariar8816@direct.parkviewexchange.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1063475853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 THEATER AVE",
            "address_2": "PEDIATRIC MEDICAL GROUP INC",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467507978",
            "telephone_number": "260-356-3611",
            "fax_number": "260-358-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVARIAR",
        "first_name": "LOURDU",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01043689A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01043689A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039690A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsavariar8816@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "2814 Theater Ave",
            "address_2": "Pediatric Medical Group Inc",
            "city": "Huntington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467507978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2814 Theater Ave",
            "address_2": "Pediatric Medical Group Inc",
            "city": "Huntington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467507978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2814 Theater Ave",
            "address_2": "Pediatric Medical Group Inc",
            "city": "Huntington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467507978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, IN

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