Active NPI
Michiana Hospitalist LLC
- Internal Medicine Physician
- Granger, IN
National Provider Identifier
1104985464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MICHIANA HOSPITALIST LLC
- Doing business as
- Michiana hospitalist llc
- Practice address
- 51265 Amesburry Way
Granger, IN 46530-4828 - Phone
- (574) 243-4875
- Fax
- (574) 243-4847
- NPI assigned
- Dec 6, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shamoon Ahmed, M.D.
- Title
- Medical Diretor
- Phone
- (574) 243-4875
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IN | Primary |
Addresses
Primary practice location
51265 Amesburry Way
Granger, IN 46530-4828
Mailing address
51265 Amesburry Way
Granger, IN 46530-4828
Phone (574) 243-4875
Other names 1
- Michiana hospitalist llc
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1831138072
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1093938979
-
- Internal Medicine Physician
- South Bend, IN
- NPI 1245381029
-
- Sleep Medicine (Internal Medicine) Physician
- Elkhart, IN
- NPI 1346289501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104985464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51265 AMESBURRY WAY",
"city": "GRANGER",
"state": "IN",
"postal_code": "465304828",
"telephone_number": "574-243-4875",
"fax_number": "574-243-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51265 AMESBURRY WAY",
"city": "GRANGER",
"state": "IN",
"postal_code": "465304828",
"telephone_number": "574-243-4875",
"fax_number": "574-243-4847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIANA HOSPITALIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "SHAMOON",
"authorized_official_title_or_position": "MEDICAL DIRETOR",
"authorized_official_telephone_number": "574-243-4875",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Michiana hospitalist llc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Granger, IN
- Memorial Hospital of South Bend (Beacon Granger Hospital, A Memorial Hospital Extension)
- Maria Dolores Santos Menzen, PT
- Michiana Community Care LLC
- Michiana Hearing Inc (Reger and Associates)
- Michiana Home Care, LLC (Michiana Home Care)
- Michiana Neurologic Medicine, PC
- Michiana Solutions Group LLC (Next Day Access of Michiana)
- Michiana Therapy Network
- Michiana Weight Loss and Wellness Clinic LLC
- Midwest Eye Consultants, P.C. (Midwest Eye Consultants Granger)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.