Individual provider Active NPI

Alexander S Bozanich, M.D.

  • Pulmonary Disease Physician
  • Munster, IN
National Provider Identifier
1255302576
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01047404A Issued in IN
Practice address
501 45TH St
Munster, IN 46321-2813
Phone
(219) 595-5754
Fax
(219) 595-5460
NPI assigned
Jan 27, 2006
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01047404A IN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01047404A IN

Addresses

Primary practice location

501 45TH St
Munster, IN 46321-2813

Mailing address

501 45TH St
Munster, IN 46321-2813
Phone (219) 595-5754

Other identifiers 4

IdentifierTypeStateIssuer
0090001354OtherILBCBS IL
P00466655OtherINMEDICAR RR PTAN
200158760MedicaidIN
000000544215OtherINBCBS IN

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
I20051004000730 IN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 2668422114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
University of Minnesota Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7550 Hohman Ave
Suite 600
Munster, IN 46321-1065
Phone (219) 836-2449

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01047404AINMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Sleep Associates, PC Pulmonary Disease CurrentSince Sep 30, 2005 Accepting new patients
Environmental & Respiratory Medicine Pulmonary Disease Past Accepting new patients
Community Care Network Inc PastSince Jun 6, 2026 Accepting new patients
Advocate Health Centers, Inc. Past Accepting new patients

Locations

7550 Hohman Ave
Ste 600
Munster, IN 46321
Phone (219) 836-2449

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1255302576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212813",
            "telephone_number": "219-595-5754",
            "fax_number": "219-595-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212813",
            "telephone_number": "219-595-5754",
            "fax_number": "219-595-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZANICH",
        "first_name": "ALEXANDER",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01047404A",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01047404A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "0090001354",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR RR PTAN",
            "identifier": "P00466655",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200158760",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IN",
            "identifier": "000000544215",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.