Active NPI
Michael Knesek, MD
- Orthopaedic Surgery Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 201328430
- Practice address
- 9445 Calumet Ave
Munster, IN 46321-2811 - Phone
- (219) 836-1060
- Fax
- (219) 836-1014
- NPI assigned
- Jun 17, 2009
- Last updated
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01075358B | IN | |
| Orthopaedic Surgery Physician | 207X00000X | 201328430 | IN | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 201328430 | IN |
Addresses
Primary practice location
9445 Calumet Ave
Munster, IN 46321-2811
Mailing address
9445 Calumet Ave
Munster, IN 46321-2811
Phone (219) 836-1060
Other practice location 1
1500 S Lake Park Ave
Sp402
Hobart, IN 46342-6638
Phone (219) 945-4488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336376367 | Other | NPI | |
| 201328430 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MUNSTER |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10215 Broadway
Crown Point, IN 46307-8001
1500 S Lake Park Ave
Hobart, IN 46342-6638
1545 W US Hwy 30
Schererville, IN 46375-1562
Phone (219) 836-5381
3800 Saint Mary Rd
Valparaiso, IN 46383-3986
901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-4563
9130 Columbia Ave
Munster, IN 46321-2932
Hospital & facility affiliations
- Powers Home Health Services
- St Mary Medical Center Inc
- Community Hospital
- St Catherine Hospital Inc
- Franciscan Health Michigan City
- Powers Health Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 58 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 26 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01075358B | IN | MD | Orthopaedic Surgery Physician |
| 201328430 | IN | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Munster Radiology Group PC | Past | Accepting new patients |
Locations
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
1500 S Lake Park Ave
#402
Hobart, IN 46342
Phone (219) 945-4488
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
9445 Calumet Ave
Munster, IN 46321
Phone (219) 836-1060
1545 W US Highway 30
Schererville, IN 46375
Phone (219) 703-2440
3800 Saint Mary Rd
Ste 101
Valparaiso, IN 46383
Phone (219) 738-2081
Interoperability endpoints
- mknesek62713@ssdirect.comhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
- Diagnostic Radiology Physician
- Munster, IN
- NPI 1144207101
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
dba Home Health of St Mary Medical Center
- Home Health Agency
- Hobart, IN
- NPI 1528160736
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1336376367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9445 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212811",
"telephone_number": "219-836-1060",
"fax_number": "219-756-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9445 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212811",
"telephone_number": "219-836-1060",
"fax_number": "219-836-1014"
}
],
"practiceLocations": [
{
"address_1": "1500 S Lake Park Ave",
"address_2": "SP402",
"address_purpose": "LOCATION",
"city": "Hobart",
"state": "IN",
"postal_code": "463426638",
"country_code": "US",
"telephone_number": "219-945-4488",
"fax_number": "219-947-6015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNESEK",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01075358B",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "201328430",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "201328430",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1336376367",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201328430",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MUNSTER",
"affiliation": "N",
"address_1": "9445 Calumet Ave",
"city": "Munster",
"state": "IN",
"country_code": "US",
"postal_code": "463212811",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.
- 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.