Organization Active NPI

Vein Center of Northwest Indiana

  • Specialist
  • Merrillville, IN
National Provider Identifier
1265658991
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VEIN CENTER OF NORTHWEST INDIANA
Practice address
1000 E 80TH PL
Suite 308 South Tower
Merrillville, IN 46410-5608
Phone
(219) 736-8118
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Amjad Alkadri, MD
Title
President
Phone
(219) 736-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1000 E 80TH PL
Suite 308 South Tower
Merrillville, IN 46410-5608

Mailing address

1608 Lincolnway
Valparaiso, IN 46383-5856
Phone (219) 476-0352

National Provider Directory

National Provider Directory

Locations

1000 E 80th Pl
Ste 308S
Merrillville, IN 46410

1608 Lincolnway
Valparaiso, IN 46383

Practitioners & affiliated clinicians

Practitioners 2

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265658991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835856",
            "telephone_number": "219-476-0352",
            "fax_number": "219-531-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 80TH PL",
            "address_2": "SUITE 308 SOUTH TOWER",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105608",
            "telephone_number": "219-736-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER OF NORTHWEST INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALKADRI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-736-8118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.