Individual provider Active NPI

Saveen Kondamuri, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Munster, IN
National Provider Identifier
1346249927
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
01049412A Issued in IN
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01049412AOtherINLICENSE NUMBER
000000217296OtherINBLUE CROSS BLUE SHIELD
01049412AOtherILBCBS OF ILLINOIS
200224020AMedicaidIN
1962401745OtherINGROUP NPI
P00635867OtherGAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000112 IN Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 2163443953 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Pain Management Centers,LLCGroup PAC ID 5496654618, 9 clinicians

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

LicenseStateTypeSpecialty
01049412AINMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince May 1, 2019 Accepting new patients
Pain Management Specialists LLC CurrentSince Jan 1, 2006 Accepting new patients
Midwest Pain Management Centers,LLC Pain Medicine CurrentSince Nov 1, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.