Individual provider Active NPI

Donald Pesavento, M.D.

  • Family Medicine Physician
  • Crown Point, IN
National Provider Identifier
1104843937
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01032265A Issued in IN
Practice address
9301 Connecticut Drive
Crown Point, IN 46307-7486
Phone
(219) 796-4117
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01032265A IN
Family Medicine Physician 207Q00000X 01032265A IN Primary

Addresses

Primary practice location

9301 Connecticut Drive
Crown Point, IN 46307-7486

Mailing address

9301 Connecticut Drive
Crown Point, IN 46307-7486
Phone (219) 756-2100

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
I20050714000932 IN Practitioner - General Surgery 2264468867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northwestern University Feinberg Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Healthcare LLCGroup PAC ID 1254331184, 9 clinicians

Practice addresses (Care Compare)

9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone (219) 796-4060

9301 Connecticut Dr
Merrillville, IN 46410-7173

Hospital & facility affiliations

  • Pinnacle Hospital Hospital, Crown Point, IN, CCN 150166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01032265AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare, LLC Family Medicine CurrentSince Mar 6, 2017 Accepting new patients
William J. Pierce,M.D.,P.C. Family Medicine CurrentSince May 27, 2013 Accepting new patients
Four Seasons Medical Center, P.C. Family Medicine Past Accepting new patients
Health Psychology and Counseling Center of Northwest Indiana Past Accepting new patients

Locations

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

210 E 90th Dr
Merrillville, IN 46410
Phone (219) 738-2008

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1104843937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DRIVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077486",
            "telephone_number": "219-756-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DRIVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077486",
            "telephone_number": "219-796-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESAVENTO",
        "first_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01032265A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032265A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.