Occu-Med PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OCCU-MED PC

Practice address

2230 Indianapolis Blvd
Whiting, IN 46394-1956

Phone

(219) 659-0333

Fax

(219) 659-0336

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nidal Hasan, M.D.

Title

President

Phone

(219) 659-0333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shyam Patel, D.O.

  • Family Medicine Physician
  • Whiting, IN
  • NPI 1871974709

  IN

  Medicare reassignment Care Compare group NPD
• Melissa Vega Montes, APRN

  • Family Nurse Practitioner
  • Whiting, IN
  • NPI 1760246839

  IN

  Medicare reassignment Care Compare group NPD
• Vijay Patel, M.D.

  • Surgery Physician
  • Chicago, IL
  • NPI 1326097585

  IN

  Medicare reassignment NPD
• Jaswinder Rai Chhibber, MD

  • General Practice Physician
  • Buffalo Grove, IL
  • NPI 1447236716
  NPD (past)

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1295037232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604820699",
            "telephone_number": "219-659-0333",
            "fax_number": "219-659-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941956",
            "telephone_number": "219-659-0333",
            "fax_number": "219-659-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCU-MED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-659-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael a Schwartzman, DPM, LTD
• Michael a Schwartzman,DPM, LTD
• Roberto Antonio Moreno, RN
• Northwest Indiana Podiatry Clinic, LLC
• Kevin J. O'Shea, MD, MPH
• Tajudeen Ogbara, M.D.
• Chittaranjan Ambalal Patel, MD
• Nirav Patel, MD
• Payal J Patel, PSYD
• Shyam Patel, D.O.

• All providers in Whiting, IN
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.