Organization Active NPI

Chicago Spine and Vascular Institute P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Munster, IN
National Provider Identifier
1376131391
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
CHICAGO SPINE AND VASCULAR INSTITUTE P.C.
Practice address
1650 45TH St Ste 3
Munster, IN 46321-3962
Phone
(219) 220-2021
NPI assigned
Jan 5, 2021
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Sheel PatelNPI 1558657346
Title
Owner
Phone
(304) 615-8102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

1650 45TH St Ste 3
Munster, IN 46321-3962

Mailing address

PO Box 3120
Munster, IN 46321-0120

National Provider Directory

National Provider Directory

Locations

1650 45th St
Ste 3
Munster, IN 46321
Phone (219) 220-2021

917 Ridge Rd
Unit 3120
Munster, IN 46321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1376131391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3120",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 45TH ST STE 3",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213962",
            "telephone_number": "219-220-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO SPINE AND VASCULAR INSTITUTE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-615-8102"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.