Organization Active NPI

Cancer Medicine Group Inc

  • Hematology & Oncology Physician
  • Merrillville, IN
National Provider Identifier
1376505065
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER MEDICINE GROUP INC
Practice address
6111 Harrison St Ste 331
Merrillville, IN 46410-2972
Phone
(219) 985-2128
Fax
(219) 985-2794
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Dr. Nyambi Ebie, M.D.NPI 1548234883
Title
Owner
Phone
(773) 731-3361

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
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

6111 Harrison St Ste 331
Merrillville, IN 46410-2972

Mailing address

505 N Lake Shore Dr
Suite 5811
Chicago, IL 60611-3427
Phone (773) 731-2982

Other identifiers 2

IdentifierTypeStateIssuer
1376505065OtherINGROUP NPI
1376505065OtherILNPI - GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050214000681 IL Part B Supplier - Clinic/Group Practice 3577515956 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL
O20121017000120 IN Part B Supplier - Clinic/Group Practice 3577515956 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory

Locations

2850 S Wabash Ave
Ste 102
Chicago, IL 60616
Phone (312) 496-3488

2301 E 93rd St
Ste 110
Chicago, IL 60617
Phone (773) 731-2982

2301 E 93rd St
Ste 331
Chicago, IL 60617

6111 Harrison St
Ste 331
Merrillville, IN 46410
Phone (219) 887-1340

6111 Harrison St
Ste 200
Merrillville, IN 46410
Phone (219) 985-2128

6111 Harrison St
Ste 201
Merrillville, IN 46410

Practitioners & affiliated clinicians

Practitioners 3

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1376505065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR",
            "address_2": "SUITE 5811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113427",
            "telephone_number": "773-731-2982",
            "fax_number": "773-731-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST STE 331",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102972",
            "telephone_number": "219-985-2128",
            "fax_number": "219-985-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER MEDICINE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "EBIE",
        "authorized_official_first_name": "NYAMBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-731-3361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1376505065",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - GROUP",
            "identifier": "1376505065",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.