Active NPI
James Mark Platis Jr., MD
- Plastic Surgery Physician
- Merrillville, IN
National Provider Identifier
1073554143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 01043292
- Practice address
- 210 E 86TH PL
Merrillville, IN 46410-6258 - Phone
- (219) 795-1255
- Fax
- (219) 738-1953
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 01043292 | IN | Primary |
Addresses
Primary practice location
210 E 86TH PL
Merrillville, IN 46410-6258
Mailing address
210 E 86TH PL
Merrillville, IN 46410-6258
Phone (219) 795-1255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000221575 | Other | IN | ANTHEM BCBS |
| 200071520 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 29, 2016 through Sep 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01043292 | IN | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James M Platis Jr MD LTD | Plastic Surgery | Past | Accepting new patients |
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.
-
- Plastic Surgery Physician
- Merrillville, IN
- NPI 1316271760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1073554143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 86TH PL",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106258",
"telephone_number": "219-795-1255",
"fax_number": "219-738-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 86TH PL",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106258",
"telephone_number": "219-795-1255",
"fax_number": "219-738-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATIS",
"first_name": "JAMES",
"middle_name": "MARK",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IN",
"license": "01043292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000221575",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200071520",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.