NPIMap

Organization Active NPI

Pinnacle Healthcare LLC

Doing business as Pinnacle Medical Group

  • Family Medicine Physician
  • Crown Point, IN
National Provider Identifier
1184916447
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINNACLE HEALTHCARE LLC
Doing business as
Pinnacle Medical Group
Practice address
9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone
(219) 796-4150
NPI assigned
May 5, 2011
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Haroon Naz
Title
Ceo
Phone
(219) 796-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9301 Connecticut Dr
Crown Point, IN 46307-7486

Mailing address

9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone (219) 796-4150

Other names 1

  • Pinnacle Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000005 IN Part B Supplier - Clinic/Group Practice 1254331184 Receives reassigned benefits from 29 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crown Point, IN; Mishawaka, IN; Lowell, IN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Healthcare LLC4 organizations share this tax ID, including this one
Part of
Pinnacle Healthcare LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

303 S Main St
Ste 202
Crown Point, IN 46307

720 W 5th Ave
Gary, IN 46402
Phone (219) 718-4735

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

8550 Broadway
Ste B
Merrillville, IN 46410

9615 Keilman St
Saint John, IN 46373
Phone (219) 365-0220

502 Wall St
Ste 104A
Valparaiso, IN 46383
Phone (219) 462-9937

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1184916447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077486",
            "telephone_number": "219-796-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077486",
            "telephone_number": "219-796-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTHCARE LLC",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "NAZ",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-796-4120"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.