Individual provider Active NPI

Ramakrishnan P Unni, M.D.

  • Urology Physician
  • Merrillville, IN
National Provider Identifier
1063493542
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01026587A Issued in IN
Practice address
400 West 84TH Dr.
Merrillville, IN 46410
Phone
(219) 769-8641
Fax
(219) 769-2280
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01026587A IN Primary

Addresses

Primary practice location

400 West 84TH Dr.
Merrillville, IN 46410

Mailing address

400 West 84TH Dr.
Merrillville, IN 46410
Phone (219) 769-8641

Other identifiers 2

IdentifierTypeStateIssuer
0091108094OtherILBLUE SHIELD OF ILLINOIS
100158110AMedicaidIN

Other names 1

  • P. R. Unni Professional name

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
I20100924001136 IN Practitioner - Urology 4486741345 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01026587AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uro Surgery Associates LLC Urology CurrentSince Jul 3, 2011 Accepting new patients
Uro Surgery Associates LLC Urology CurrentSince Jul 3, 2011 Accepting new patients

Locations

371 E 84th Dr
Merrillville, IN 46410
Phone (219) 769-8641

400 W 84th Dr
Merrillville, IN 46410
Phone (219) 736-1255

Organizations & group practices 2

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1063493542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST 84TH DR.",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-8641",
            "fax_number": "219-769-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST 84TH DR.",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-8641",
            "fax_number": "219-769-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNNI",
        "first_name": "RAMAKRISHNAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01026587A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ILLINOIS",
            "identifier": "0091108094",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100158110A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P.",
            "last_name": "UNNI",
            "middle_name": "R.",
            "credential": "PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.