Active NPI
Surgical Consultants International, PC
- Surgery Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seferino Farias, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201213930A | Medicaid | IN | |
| IN1798001 | Other | IN | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Crown Point, IN
- NPI 1821093923
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.