NPIMap

Organization Active NPI

Suniti Medical Corporation

Doing business as Premier Oncology Hematology Assoc

  • Specialist
  • Merrillville, IN
National Provider Identifier
1285667550
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUNITI MEDICAL CORPORATION
Doing business as
Premier Oncology Hematology Assoc
Practice address
200 East 89TH Avenue
Suite 2a
Merrillville, IN 46410-7319
Phone
(219) 736-2800
NPI assigned
Jul 9, 2006
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Peggy Bendt
Title
Office Manager
Phone
(219) 736-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X IN Primary

Addresses

Primary practice location

200 East 89TH Avenue
Suite 2a
Merrillville, IN 46410-7319

Mailing address

200 East 89TH Avenue
Suite 2a
Merrillville, IN 46410-7319
Phone (219) 736-2800

Other identifiers 3

IdentifierTypeStateIssuer
100201480AMedicaidIN
91115213OtherILBLUE SHIELD IL
CM0856OtherRR MEDICARE

Other names 1

  • PREMIER ONCOLOGY HEMATOLOGY ASSOC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000487 IN Part B Supplier - Clinic/Group Practice 1759413172 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Munster, IN; Merrillville, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

200 E 89th Ave
Ste 2A
Merrillville, IN 46410
Phone (219) 736-2800

929 Ridge Rd
Ste 5
Munster, IN 46321
Phone (219) 836-2000

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1285667550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST 89TH AVENUE",
            "address_2": "SUITE 2A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107319",
            "telephone_number": "219-736-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST 89TH AVENUE",
            "address_2": "SUITE 2A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107319",
            "telephone_number": "219-736-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNITI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "BENDT",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-736-2800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100201480A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD IL",
            "identifier": "91115213",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CM0856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER ONCOLOGY HEMATOLOGY ASSOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.