Individual provider Active NPI

Daniel Litera

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1134629785
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007855A Issued in IN
Practice address
801 Macarthur Blvd Ste 404
Munster, IN 46321-2919
Phone
(219) 836-2995
Fax
(219) 836-4011
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28198839A IN
Family Nurse Practitioner 363LF0000X 71007855A IN Primary

Addresses

Primary practice location

801 Macarthur Blvd Ste 404
Munster, IN 46321-2919

Mailing address

801 Macarthur Blvd Ste 404
Munster, IN 46321-2919
Phone (219) 836-2995

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411002568 IN Practitioner - Nurse Practitioner 1052674702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

801 Macarthur Blvd
Suite 404
Munster, IN 46321-2919
Phone (219) 836-2995

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28198839AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Mar 26, 2018 Accepting new patients

Locations

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

801 MacArthur Blvd
Ste 404
Munster, IN 46321
Phone (219) 836-2995

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

801 MacArthur Blvd
Ste 405
Munster, IN 46321
Phone (219) 836-5040

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

1545 W US Highway 30
Fl 2
Schererville, IN 46375

Interoperability endpoints

  • Direct secure messaging: dlitera9540@ssdirect.comhs.org

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.

Hospital & facility affiliations 4

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1134629785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 404",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212919",
            "telephone_number": "219-836-2995",
            "fax_number": "219-836-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 404",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212919",
            "telephone_number": "219-836-2995",
            "fax_number": "219-836-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITERA",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28198839A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007855A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.