Individual provider Active NPI

Julian Y Ungar-Sargon, M.D., PHD

  • Neurology Physician
  • Rensselaer, IN
National Provider Identifier
1376642900
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01040129A Issued in IN
Practice address
123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone
(219) 866-7222
Fax
(219) 866-7001
NPI assigned
Sep 21, 2006
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Neurology Physician 2084N0400X 336-077840 IL
Neurology Physician 2084N0400X 01040129A IN Primary
Interventional Pain Medicine Physician 208VP0014X 01040129A IN

Addresses

Primary practice location

123 S McKinley Ave
Rensselaer, IN 47978-2949

Mailing address

123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone (219) 866-7222

Other identifiers 4

IdentifierTypeStateIssuer
213230AOtherINUNITED HEALTHCARE
000000517639OtherINANTHEM
4513297OtherINCIGNA
200210770AMedicaidIN

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
I20040106000222 IN Practitioner - NeurologyPractitioner - NephrologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4880593144 Practice locations: Lafayette, IN; Merrillville, IN; Rensselaer, IN

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management, Pain Management
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone (219) 866-7222

255 E 90TH Dr
Suite W2
Merrillville, IN 46410-8145
Phone (219) 756-0400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
336-077840ILMDNeurology Physician
01040129AINMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropraxis PC Multi-Specialty CurrentSince Jan 1, 2003 Accepting new patients
Regional Health Diagnostics Inc CurrentSince Aug 1, 2025 Accepting new patients
Monticello Podiatry LLC Multi-Specialty PastSince Jun 26, 2011 Accepting new patients
American Surgeons Group Inc Multi-Specialty PastSince Oct 24, 2025 Accepting new patients
Merrillville Family Medical Center Multi-Specialty PastSince Feb 23, 2019 Accepting new patients
Neurologiciom Past Accepting new patients

Locations

270 E 90th Dr
Merrillville, IN 46410
Phone (219) 769-6363

Interoperability endpoints

  • Direct secure messaging: jungarsargon235739@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 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1376642900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S MCKINLEY AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782949",
            "telephone_number": "219-866-7222",
            "fax_number": "219-866-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S MCKINLEY AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782949",
            "telephone_number": "219-866-7222",
            "fax_number": "219-866-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGAR-SARGON",
        "first_name": "JULIAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "336-077840",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01040129A",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01040129A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "213230A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000517639",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4513297",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200210770A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, IN

Sources for this page

Verify at the official NPI Registry.