Organization Active NPI

Surgical Consultants International, PC

  • Surgery Physician
  • Crown Point, IN
National Provider Identifier
1235553454
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL CONSULTANTS INTERNATIONAL, PC
Practice address
12800 Mississippi Pkwy Ste C101
Crown Point, IN 46307-6901
Phone
(219) 661-0444
Fax
(219) 661-8111
NPI assigned
Feb 7, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Seferino Farias, MDNPI 1821093923
Title
Owner
Phone
(219) 661-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

12800 Mississippi Pkwy Ste C101
Crown Point, IN 46307-6901

Mailing address

PO Box 846
Crown Point, IN 46308-0846
Phone (219) 662-3931

Other practice location 1

333 W 89th Ave
Merrillville, IN 46410-7073
Phone (219) 661-0444

Other identifiers 2

IdentifierTypeStateIssuer
201213930AMedicaidIN
IN1798001OtherINMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

12800 Mississippi Pkwy
Ste C101
Crown Point, IN 46307
Phone (219) 661-0444

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235553454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463080846",
            "telephone_number": "219-662-3931",
            "fax_number": "219-663-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 MISSISSIPPI PKWY STE C101",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076901",
            "telephone_number": "219-661-0444",
            "fax_number": "219-661-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W 89th Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107073",
            "country_code": "US",
            "telephone_number": "219-661-0444",
            "fax_number": "219-661-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURGICAL CONSULTANTS INTERNATIONAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FARIAS",
        "authorized_official_first_name": "SEFERINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-661-0444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201213930A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN1798001",
            "state": "IN"
        }
    ],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.