Active NPI
Rohit S Puranik, MD
- Pain Medicine (Anesthesiology) Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036.134715
- Practice address
- 11420 Broadway
Crown Point, IN 46307-7106 - Phone
- (219) 476-7246
- Fax
- (219) 476-1713
- NPI assigned
- Jun 4, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036.134715 | IL | Primary |
Addresses
Primary practice location
11420 Broadway
Crown Point, IN 46307-7106
Mailing address
2205 Roosevelt Rd
Valparaiso, IN 46383-2748
Phone (219) 476-7246
Other practice location 1
201 Main St
Hobart, IN 46342-4439
Phone (219) 476-7246 ext. 321
Other practice location 2
204 Legacy Plz W
LA Porte, IN 46350-5285
Phone (219) 476-7246 ext. 321
Other practice location 3
1928 45th St
Munster, IN 46321-3917
Phone (219) 476-7246 ext. 321
Other practice location 4
2211 Roosevelt Rd
Valparaiso, IN 46383-2748
Phone (219) 476-7246 ext. 321
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
- Anesthesiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 Roosevelt Rd
Valparaiso, IN 46383-2748
Phone (219) 476-7246
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 68.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 62.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134715 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Management LLC | Current | Accepting new patients | |
| Centers for Pain Control, Inc | Current | Accepting new patients | |
| Centers for Pain Control, Inc | Pain Medicine | Current | Accepting new patients |
| Centers for Pain Control Inc. | Past | Accepting new patients |
Locations
11420 Broadway
Crown Point, IN 46307
Phone (219) 661-8680
201 Main St
Ste A
Hobart, IN 46342
Phone 2194767246321
201 Main St
Hobart, IN 46342
Phone 2194767246 ext. 321
208 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246
204 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246
1924 45th St
Munster, IN 46321
Phone 2194767246321
1928 45th St
Munster, IN 46321
Phone 2194767246 ext. 321
Interoperability endpoints
- rohit.puranik.1@16383.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Pain Medicine Physician
- La Porte, IN
- NPI 1790920452
-
- Ambulatory Surgical Clinic/Center
- Valparaiso, IN
- NPI 1083051346
-
- Ambulatory Surgical Clinic/Center
- Hobart, IN
- NPI 1164833687
-
- Ambulatory Surgical Clinic/Center
- La Porte, IN
- NPI 1306274097
-
- Ambulatory Surgical Clinic/Center
- Munster, IN
- NPI 1801349386
-
- Pain Medicine Physician
- Munster, IN
- NPI 1609333723
-
- Pain Medicine Physician
- Valparaiso, IN
- NPI 1174945927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1235459975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 ROOSEVELT RD",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832748",
"telephone_number": "219-476-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077106",
"telephone_number": "219-476-7246",
"fax_number": "219-476-1713"
}
],
"practiceLocations": [
{
"address_1": "201 Main St",
"address_purpose": "LOCATION",
"city": "Hobart",
"state": "IN",
"postal_code": "463424439",
"country_code": "US",
"telephone_number": "219-476-7246 x321",
"fax_number": "219-476-1713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 Legacy Plz W",
"address_purpose": "LOCATION",
"city": "LA Porte",
"state": "IN",
"postal_code": "463505285",
"country_code": "US",
"telephone_number": "219-476-7246 x321",
"fax_number": "219-476-1713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1928 45th St",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463213917",
"country_code": "US",
"telephone_number": "219-476-7246 x321",
"fax_number": "219-476-1713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2211 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463832748",
"country_code": "US",
"telephone_number": "219-476-7246 x321",
"fax_number": "219-476-1713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURANIK",
"first_name": "ROHIT",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036.134715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 22, 2018; 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.