NPIMap

Organization Active NPI

Medical Specialists Inc., P.C.

  • Infectious Disease Physician
  • Munster, IN
National Provider Identifier
1265485635
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
50002494A Issued in IN
Legal business name
MEDICAL SPECIALISTS INC., P.C.
Practice address
757 45TH Street
Ste 201 Medical Specialists
Munster, IN 46321
Phone
(219) 934-2461
Fax
(219) 934-2478
NPI assigned
May 18, 2006
Last updated
Nov 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Caren Gegenheimer
Title
Cfo
Phone
(219) 934-2461

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 50002494A IN
MOHS-Micrographic Surgery Physician 207ND0101X 50002494A IN
Family Medicine Physician 207Q00000X 50002494A IN
Internal Medicine Physician 207R00000X 50002494A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 50002494A IN
Infectious Disease Physician 207RI0200X 50002494A IN Primary
Rheumatology Physician 207RR0500X 50002494A IN
Obstetrics & Gynecology Physician 207V00000X 50002494A IN
Orthopaedic Surgery Physician 207X00000X 50002494A IN
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 50002494A IN
Pediatrics Physician 208000000X 50002494A IN
Diagnostic Radiology Physician 2085R0202X XF200828 IN
Diagnostic Ultrasound Physician 2085U0001X 50002494A IN
Podiatrist 213E00000X 07000920A IN

Addresses

Primary practice location

757 45TH Street
Ste 201 Medical Specialists
Munster, IN 46321

Mailing address

757 45TH Street
Ste 201Medical Specialists Attn C McGee
Munster, IN 46321
Phone (219) 934-2461

Other identifiers 1

IdentifierTypeStateIssuer
100157820-AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Medical Specialists7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

919 Main St
#102
Dyer, IN 46311
Phone (219) 934-2492

761 45th St
Ste 103
Munster, IN 46321
Phone (219) 922-3002

2001 US Highway 41
Schererville, IN 46375
Phone (219) 365-0970

Practitioners & affiliated clinicians

Practitioners 9

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1265485635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 45TH STREET",
            "address_2": "STE 201MEDICAL SPECIALISTS ATTN C MCGEE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-934-2461",
            "fax_number": "219-934-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 45TH STREET",
            "address_2": "STE 201 MEDICAL SPECIALISTS",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-934-2461",
            "fax_number": "219-934-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS INC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "GEGENHEIMER",
        "authorized_official_first_name": "CAREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "219-934-2461"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "50002494A",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "XF200828",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IN",
            "license": "50002494A",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000920A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100157820-A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.