Michiana Hematology Oncology of Michigan, P.C.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Niles, MI
NPI 1295874014 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1295874014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C.
- Practice address
- 4 Longmeadow Drive
Suite 1
Niles, MI 49120 - Phone
- (269) 683-4153
- Fax
- (269) 683-4154
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Rafat H Ansari, M.D.
- Title
- President
- Phone
- (574) 234-5123
Practitioners 1
-
Sharon K Klingerman, N.P.
National Provider Directory
Locations
4 Longmeadow Village Dr
Ste 1
Niles, MI 49120
Phone (269) 683-4153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | |||
| Gynecologic Oncology Physician |
207VX0201X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
4 Longmeadow Drive
Suite 1
Niles, MI 49120
Mailing address
100 Navarre PL
Suite 6695
South Bend, IN 46601-1156
Phone (574) 234-5123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OA11038 | Other | MI | BLUE CROSS |
| 4815650001 | Other | MI | NSC |
| DA4426 | Other | MI | RRMC PROVIDER |
Other providers in Niles, MI
- Ogubay Tekie Mesmer
- Daniel M Metzger
- Michiana Counseling Services Inc
- Michiana Guardianship Services, Inc.
- Michiana Hematology Oncology of Michigan, P.C.
- Michiana Home Care, LLC
- Michiana Mobility LLC
- Michiana Mobility LLC
- Michiana Spine, Sports & Occupational Rehab, PC
- Madison Rae Mick
All providers in Niles, MI · Durable Medical Equipment & Medical Supplies in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.