NPIMap

Individual provider Active NPI

Nasar Katariwala, M.D.

  • Neurology Physician
  • Michigan City, IN
National Provider Identifier
1356311310
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01056291A Issued in IN
Practice address
130 Commerce SQ
Michigan City, IN 46360-3281
Phone
(219) 878-9870
Fax
(219) 878-9873
NPI assigned
Jan 24, 2006
Last updated
Jan 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01056291A IN Primary

Addresses

Primary practice location

130 Commerce SQ
Michigan City, IN 46360-3281

Mailing address

130 Commerce SQ
Michigan City, IN 46360-3281
Phone (219) 878-9870

Other identifiers 1

IdentifierTypeStateIssuer
200381990MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000916 IN Practitioner - NeurologyPractitioner - Psychiatry 2163494576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neuroclinic P CGroup PAC ID 5698872364, 2 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

300 Wile St
Suite 6
La Porte, IN 46350-5672
Phone (219) 878-9870

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

601 W Kieffer Rd
Michigan City, IN 46360-9599
Phone 2198789870114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
001323NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpartners Medical Group, LLC Past Accepting new patients
Dunes Optical, LLC Past Accepting new patients
Medical Group Surgery Center LLC Past Accepting new patients
Epilepsy & Neurophysiology Medical Consulting PC Neurology PastSince Aug 30, 2009 Accepting new patients
Neuro Oversight LLC PastSince Oct 9, 2015 Accepting new patients
Frank Bender MD LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nasar.katariwala@neuroclinicpc.directbygreenway.com
  • Direct secure messaging: nkatariwala83034@direct.franciscanalliance.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1356311310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603281",
            "telephone_number": "219-878-9870",
            "fax_number": "219-878-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603281",
            "telephone_number": "219-878-9870",
            "fax_number": "219-878-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATARIWALA",
        "first_name": "NASAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01056291A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200381990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.