Individual provider Active NPI

Rohit S Puranik, MD

  • Pain Medicine (Anesthesiology) Physician
  • Crown Point, IN
National Provider Identifier
1235459975
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036.134715 Issued in IL
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

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150105001608 IN Practitioner - Anesthesiology 5597999326 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Pain Control, IncGroup PAC ID 7416019450, 24 clinicians

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 100Reported as individual
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

LicenseStateTypeSpecialty
036.134715ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Management LLC CurrentSince Jan 27, 2020 Accepting new patients
Centers for Pain Control, Inc CurrentSince Nov 22, 2014 Accepting new patients
Centers for Pain Control, Inc Pain Medicine CurrentSince Nov 22, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.