Family Medicine of Merrillville, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01058415 Issued in IN

Legal business name

FAMILY MEDICINE OF MERRILLVILLE, PC

Practice address

3903 E Lincoln Hwy
Merrillville, IN 46410-5810

Phone

(219) 736-0900

Fax

(219) 769-5803

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Yaser Alobeid, MDNPI 1396792461

Title

Owner

Phone

(219) 769-1670

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yaser Alobeid, MD

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1396792461
  Medicare reassignment NPD Authorized official
• Peter Luke Bochniak II, FNP-BC

  • Family Nurse Practitioner
  • Crown Point, IN
  • NPI 1356052617
  Medicare reassignment NPD
• Weronika Lugo

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1851058085
  Medicare reassignment NPD
• Mengyun Wang

  • Primary Care Nurse Practitioner
  • Merrillville, IN
  • NPI 1578381257
  Medicare reassignment NPD
• Raylene Spisak

  • Primary Care Nurse Practitioner
  • Merrillville, IN
  • NPI 1174478861
  Medicare reassignment

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194772285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 E LINCOLN HWY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105810",
            "telephone_number": "219-736-0900",
            "fax_number": "219-769-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 E LINCOLN HWY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105810",
            "telephone_number": "219-736-0900",
            "fax_number": "219-769-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF MERRILLVILLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALOBEID",
        "authorized_official_first_name": "YASER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-769-1670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "237650A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200828160",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Focused Supportive Services, LLC
• Family Health Care Inc
• Family Matters Institute, Inc.
• Family Medicine & Wellness Center, P.C.
• Family Medicine Associates, LLC
• Family Mobile Medical Services Inc
• Family Pieces Home Care LLC
• Family Thrive Inc
• Johann David Farley, MD
• Tiyana Farmer

• Family Medicine Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.