Individual provider Active NPI

Sameea A Chughtai, DO

  • Family Medicine Physician
  • Munster, IN
National Provider Identifier
1063639649
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
020029596A Issued in IN
Practice address
7905 Calumet Ave
Franciscan Hammond Clinic LLC
Munster, IN 46321-1215
Phone
(219) 836-5800
Fax
(219) 836-8073
NPI assigned
Apr 18, 2007
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 239775 NY
Family Medicine Physician 207Q00000X 020029596A IN Primary

Addresses

Primary practice location

7905 Calumet Ave
Franciscan Hammond Clinic LLC
Munster, IN 46321-1215

Mailing address

757 45TH Ave
Ste. 201
Munster, IN 46321-2911
Phone (219) 934-2461

Other identifiers 1

IdentifierTypeStateIssuer
200414490MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020029596AINMDFamily Medicine Physician
239775NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Clinic LLC Current Accepting new patients
Franciscan Hammond Clinic LLC Past Accepting new patients

Locations

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

9800 Valparaiso Dr
Munster, IN 46321
Phone (219) 836-5800

11355 W 97th Ln
Saint John, IN 46373
Phone (219) 365-5577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1063639649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 45TH AVE",
            "address_2": "STE. 201",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212911",
            "telephone_number": "219-934-2461",
            "fax_number": "219-934-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 CALUMET AVE",
            "address_2": "FRANCISCAN HAMMOND CLINIC LLC",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211215",
            "telephone_number": "219-836-5800",
            "fax_number": "219-836-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGHTAI",
        "first_name": "SAMEEA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239775",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "020029596A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200414490",
            "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 Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.