Active NPI
Saveen Kondamuri, M.D.
- Pain Medicine (Anesthesiology) Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 01049412A
- Practice address
- 8840 Calumet Ave
Suite 103
Munster, IN 46321-2529 - Phone
- (219) 836-7246
- Fax
- (219) 836-6454
- NPI assigned
- Jul 18, 2005
- Last updated
- Dec 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01049412A | IN | Primary |
Addresses
Primary practice location
8840 Calumet Ave
Suite 103
Munster, IN 46321-2529
Mailing address
8840 Calumet Ave
Suite 103
Munster, IN 46321-2545
Phone (219) 836-7246
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01049412A | Other | IN | LICENSE NUMBER |
| 000000217296 | Other | IN | BLUE CROSS BLUE SHIELD |
| 01049412A | Other | IL | BCBS OF ILLINOIS |
| 200224020A | Medicaid | IN | |
| 1962401745 | Other | IN | GROUP NPI |
| P00635867 | Other | GA | MEDICARE RAILROAD |
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
- Anesthesiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8840 Calumet Ave
Suite 103
Munster, IN 46321-2546
Phone (219) 836-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049412A | IN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Pain Management Specialists LLC | Current | Accepting new patients | |
| Midwest Pain Management Centers,LLC | Pain Medicine | Current | Accepting new patients |
| Serenity Surgical, LLC | Past | Accepting new patients |
Locations
28354 Network Pl
Chicago, IL 60673
1100 S Calumet Rd
Ste 1
Chesterton, IN 46304
Phone (219) 836-7246
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1400 S Lake Park Ave
Ste 200202
Hobart, IN 46342
Phone (219) 947-6122
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
8840 Calumet Ave
Ste 103
Munster, IN 46321
Phone (219) 836-7246
8840 Calumet Ave
Ste 104
Munster, IN 46321
Phone (219) 513-9582
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
Interoperability endpoints
- skondamuri80507@direct.franciscanalliance.org
Organizations & group practices 5
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 Midwest Interventional Spine Specialists,LLC
- Pain Medicine Physician
- Munster, IN
- NPI 1962401745
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
- Pain Clinic/Center
- Munster, IN
- NPI 1881693562
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1538115407
-
- Ambulatory Surgical Clinic/Center
- Munster, IN
- NPI 1073987053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1346249927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 CALUMET AVE",
"address_2": "SUITE 103",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212545",
"telephone_number": "219-836-7246",
"fax_number": "219-836-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 CALUMET AVE",
"address_2": "SUITE 103",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212529",
"telephone_number": "219-836-7246",
"fax_number": "219-836-6454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDAMURI",
"first_name": "SAVEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01049412A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "01049412A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000217296",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "01049412A",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200224020A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1962401745",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00635867",
"state": "GA"
}
],
"endpoints": [],
"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 Dec 15, 2011; 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.