Cancer Care Consultants, PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

01052677A Issued in IN

Legal business name

CANCER CARE CONSULTANTS, PC

Practice address

8554 Broadway
Merrillville, IN 46410-7032

Phone

(219) 750-9581

Fax

(219) 750-9781

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Balagopal Keralavarma, MD

Title

Owner

Phone

(219) 742-4237

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Damron -Robinson, NP

  • Adult Health Nurse Practitioner
  • Merrillville, IN
  • NPI 1831343870
  NPD
• Alicia S Rothchild, APRN, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1972356640
  NPD
• Mahendra M Shah, MD

  • Hematology & Oncology Physician
  • Merrillville, IN
  • NPI 1801849997
  NPD
• Weng Peng, MD

  • Urology Physician
  • Highland, IN
  • NPI 1336257567
  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1093040719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8554 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-750-9581",
            "fax_number": "219-750-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8554 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-750-9581",
            "fax_number": "219-750-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "KERALAVARMA",
        "authorized_official_first_name": "BALAGOPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-742-4237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01052677A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSIL",
            "identifier": "90001550",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201001720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julian Camp, RBT
• Hillary Campbell
• Jamie Campbell
• Jordan Campbell, BCBA
• Canary Home Health Care of Indiana Inc
• Cancer Medicine Group Inc
• Alyssa Candiano, RBT
• Zoe Canfield, RBT
• Christine L Cangiano
• Tara Capaldi, NP-C

• Hematology & Oncology Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.