Multicare Physician Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01049411 Issued in IN

Legal business name

MULTICARE PHYSICIAN CENTER PC

Doing business as

D Katsoros MD

Practice address

7863 Broadway
Ste 135
Merrillville, IN 46410

Phone

(219) 736-2047

Fax

(219) 736-2048

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Adam Mlynarcik

Title

Vice President

Phone

(219) 712-6130

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• D Katsoros MD Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demetrios Katsaros, M.D.

  • Specialist
  • Merrillville, IN
  • NPI 1770610180
  Medicare reassignment NPD
• Anastasia Karabatsos Siatras, D.O.

  • Diagnostic Radiology Physician
  • Merrillville, IN
  • NPI 1912163577
  NPD (past)
• Robert J Rady, CRNA

  • Certified Registered Nurse Anesthetist
  • Tinley Park, IL
  • NPI 1407903719
  NPD (past)
• Julia M Ray, M.D.

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1225194053

  Specialist

  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1386771012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "address_2": "STE 135",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-548-0837",
            "fax_number": "219-548-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "address_2": "STE 135",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-736-2047",
            "fax_number": "219-736-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE PHYSICIAN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "MLYNARCIK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "219-712-6130"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01049411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200195840B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000080178",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D Katsoros MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jan Mueller, LSW
• Khalissa Muhammad, RBT
• Renee Lashawn Muhammad
• Nihad Muhrez, MD
• Araseli Muiser, RBT
• Michael Mulvihill, RN
• Gizelle Muniz
• Andrea Munoz
• Lisa Marie Munoz, MS, LMHC, LCACA
• Jesse Murphy, DPM

• Specialist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.