Northwest Indiana Radiation Oncology Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWEST INDIANA RADIATION ONCOLOGY GROUP, LLC

Practice address

300 W 61St Ave
Hobart, IN 46342-6490

Phone

(219) 942-5745

Fax

(219) 462-7902

NPI assigned

Aug 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Koppolu P Sarma, MD

Title

Medical Director

Phone

(219) 942-5745

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1255610440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660408",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462660408",
            "telephone_number": "219-942-5745",
            "fax_number": "219-462-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 61ST AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426490",
            "telephone_number": "219-942-5745",
            "fax_number": "219-462-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDIANA RADIATION ONCOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SARMA",
        "authorized_official_first_name": "KOPPOLU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "219-942-5745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Norris, FNP-C
• Emmeline B Norris, PHARM.D.
• Northern in Heart Rhythm Specialists, P.C.
• Northern Indiana Orthopaedics, PC
• Northshore Health Centers, Inc. (NorthShore River Forest High School Clinic)
• Tammy Lynne Nowlin
• Nwi Bone & Joint PC
• Nwi Injury & Pain Care PC
• Julia Olmos, RBT
• Kimberly Olmos, APRN FNP-C

• Specialist in Hobart, IN
• Providers in Hobart, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.