Individual provider Active NPI

Vivek Singam, MD

  • Dermatology Physician
  • Munster, IN
National Provider Identifier
1134789985
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01090927A Issued in IN
Practice address
9200 Calumet Ave # 203
Munster, IN 46321-2885
Phone
(219) 228-4200
NPI assigned
Jun 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01090927A IN Primary

Addresses

Primary practice location

9200 Calumet Ave # 203
Munster, IN 46321-2885

Mailing address

PO Box 779203
Chicago, IL 60677-9203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230817002548 IN Practitioner - Dermatology 4082039136 Reassigns benefits to 1 organization
I20260401002243 NY Practitioner - Dermatology 4082039136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bobby Buka, M.D., P.C.Group PAC ID 0547351140, 140 clinicians
Dermio Dermatology LLCGroup PAC ID 7315206687, 17 clinicians

Practice addresses (Care Compare)

114 Greenpoint Ave
Brooklyn, NY 11222-5768
Phone (212) 385-3700

9200 Calumet Ave
Suite 203
Munster, IN 46321-2885
Phone (219) 228-4200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions257
Removal or shaving of skin growth116
Skin biopsy72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermio Dermatology, LLC Dermatology CurrentSince Aug 1, 2023 Accepting new patients
Walgreen Co Past Accepting new patients
Dermio Surgery Center Past Accepting new patients

Locations

11005 Broadway
Ste A
Crown Point, IN 46307
Phone (219) 228-4200

519 N Halleck St
Demotte, IN 46310
Phone (219) 228-4200

14785 W 101st Ave
Dyer, IN 46311
Phone (219) 228-4200

9200 Calumet Ave
#203
Munster, IN 46321
Phone (219) 227-5034

9200 Calumet Ave
Ste 203
Munster, IN 46321
Phone (219) 228-4200

1351 Silhavy Rd
Ste A
Valparaiso, IN 46383

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.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1134789985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606779203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE # 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-228-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGAM",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01090927A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.