Active NPI
Lauren Dandurand, AGACNP-BC
- Geriatric Medicine (Family Medicine) Physician
- Merrillville, IN
National Provider Identifier
1295322642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 71010539A
- Practice address
- 200 E 89TH Ave Ste 2a
Merrillville, IN 46410-7319 - Phone
- (219) 736-2800
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 71010539A | IN | Primary |
Addresses
Primary practice location
200 E 89TH Ave Ste 2a
Merrillville, IN 46410-7319
Mailing address
200 E 89TH Ave Ste 2a
Merrillville, IN 46410-7319
Phone (219) 736-2800
Other practice location 1
929 Ridge Rd Ste 5
Munster, IN 46321-1769
Phone (219) 836-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ldandurand@geniusdoc.com | Direct | SUNITI MEDICAL CORPORATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010539A | IN | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suniti Medical Corporation | Current | Accepting new patients | |
| Suniti Medical Corporation | Current | Accepting new patients |
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
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Merrillville, IN
- NPI 1285667550
-
- Specialist
- Munster, IN
- NPI 1265641195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1295322642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 89TH AVE STE 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 E 89TH AVE STE 2A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107319",
"telephone_number": "219-736-2800"
}
],
"practiceLocations": [
{
"address_1": "929 Ridge Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463211769",
"country_code": "US",
"telephone_number": "219-836-2000",
"fax_number": "219-836-8272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANDURAND",
"first_name": "LAUREN",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "IN",
"license": "71010539A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ldandurand@geniusdoc.com",
"affiliation": "Y",
"affiliationName": "SUNITI MEDICAL CORPORATION",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 EAST 89TH AVENUE",
"address_2": "SUITE 2A",
"city": "MERRILLVILLE",
"state": "IN",
"country_code": "US",
"postal_code": "464107319",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.