Individual provider Active NPI

Michelle Zubair, M.D.

  • Gynecology Physician
  • Munster, IN
National Provider Identifier
1366797052
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
01077391A Issued in IN
Practice address
9410 Calumet Ave Ste 104
Munster, IN 46321-0018
Phone
(219) 440-2505
NPI assigned
Jul 18, 2012
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125061619 IL
Gynecology Physician 207VG0400X 01077391A IN Primary

Addresses

Primary practice location

9410 Calumet Ave Ste 104
Munster, IN 46321-0018

Mailing address

9410 Calumet Ave Ste 104
Munster, IN 46321-0018

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
I20160927001257 IN Practitioner - Obstetrics/Gynecology 2365739828 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125061619ILMDObstetrics & Gynecology Physician
01077391AINMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients
Zubair Cosmetic Gynecology and Medspa Gynecology Current Accepting new patients

Locations

1001 Main St
Fl 3
Dyer, IN 46311
Phone (219) 440-5334

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9410 Calumet Ave
Ste 104
Munster, IN 46321
Phone (219) 440-2505

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1366797052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 104",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 104",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-440-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBAIR",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-08-01",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125061619",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01077391A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.