Individual provider Active NPI

Danny C Sardon, MD

  • Surgery Physician
  • Michigan City, IN
National Provider Identifier
1376500736
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01032287C Issued in IN
Practice address
1507 Wabash St
Suite 400B
Michigan City, IN 46360-4300
Phone
(219) 872-7555
Fax
(855) 774-1402
NPI assigned
Apr 28, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01032287C IN Primary

Addresses

Primary practice location

1507 Wabash St
Suite 400B
Michigan City, IN 46360-4300

Mailing address

1507 Wabash St
Suite 500 B
Michigan City, IN 46360-4300
Phone (219) 872-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01032287CINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpartners Medical Group, LLC Past Accepting new patients
Bikashagarwal Inc. PastSince Nov 12, 2015 Accepting new patients

Organizations & group practices 3

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1376500736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WABASH ST",
            "address_2": "SUITE 500 B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604300",
            "telephone_number": "219-872-7555",
            "fax_number": "855-774-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WABASH ST",
            "address_2": "SUITE 400B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604300",
            "telephone_number": "219-872-7555",
            "fax_number": "855-774-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDON",
        "first_name": "DANNY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01032287C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.