Active NPI
Syed S Kazmi, MD
- Family Medicine Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01077884A
- Practice address
- 616 W 81St Ave
Merrillville, IN 46410-5307 - Phone
- (312) 421-1016
- NPI assigned
- Apr 20, 2007
- Reactivated
- May 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01077884A | IN | Primary |
Addresses
Primary practice location
616 W 81St Ave
Merrillville, IN 46410-5307
Mailing address
1611 Fir Ave
Crown Point, IN 46307-9462
Phone (312) 217-2581
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2054 Grant St
Gary, IN 46404-3060
Phone (219) 949-7540
Hospital & facility affiliations
- St Catherine Hospital Inc
- Methodist Hospitals Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01077884A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Indiana Occupational Pain and Wellness Center, LLC | Current | Accepting new patients | |
| Pinnacle Healthcare LLC | Family Medicine | Current | Accepting new patients |
| Smart Physician Systems PC | Current | Accepting new patients | |
| Pinnacle Healthcare, LLC | Family Medicine | Current | Accepting new patients |
| Axess Clinic and Diagnostics LLC | Current | Accepting new patients | |
| Okolocha Medical Corp. | Family Medicine | Current | Accepting new patients |
| Southern Illinois Pain Management | Past | Accepting new patients | |
| Rend Emergency Physicians | Past | Accepting new patients |
Locations
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
701 W Columbus Dr
East Chicago, IN 46312
Phone (219) 391-0014
6400 Melton Rd
Gary, IN 46403
Phone (219) 756-7246
8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888
10176 W 400 N
Ste A
Michigan City, IN 46360
Phone (219) 809-9839
8242 Calumet Ave
Ste 1
Munster, IN 46321
Phone (219) 595-0300
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Gary, IN
- NPI 1902851330
-
- Pain Medicine (Anesthesiology) Physician
- Michigan City, IN
- NPI 1588250534
-
- Occupational Medicine Clinic/Center
- Merrillville, IN
- NPI 1518398882
-
- Internal Medicine Physician
- Michigan City, IN
- NPI 1023550183
-
- Family Medicine Physician
- Crown Point, IN
- NPI 1184916447
-
- Multi-Specialty Clinic/Center
- Merrillville, IN
- NPI 1922546530
Family Medicine
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1083803852
-
- Specialist
- Marion, IL
- NPI 1942227863
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1154640902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 FIR AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079462",
"telephone_number": "312-217-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 W 81ST AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105307",
"telephone_number": "312-421-1016"
}
],
"practiceLocations": [],
"basic": {
"replacement_npi": "1154640902",
"last_name": "KAZMI",
"first_name": "SYED",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"deactivation_date": "2009-04-28",
"reactivation_date": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01077884A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.