Illiana Cardiovascular Consultants, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01029938 Issued in IN

Legal business name

ILLIANA CARDIOVASCULAR CONSULTANTS, LLC

Practice address

2150 Gettler St Ste 455
Dyer, IN 46311

Phone

(219) 864-1100

Fax

(219) 864-1118

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Jagdish Patel, MDNPI 1194763375

Title

President

Phone

(219) 398-9184

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Jagdish Patel, M.D.

  • Cardiovascular Disease Physician
  • Dyer, IN
  • NPI 1194763375
  Medicare reassignment NPD Authorized official
• Maureen Salinas

  • Family Nurse Practitioner
  • Schererville, IN
  • NPI 1700306057
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1457438848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 GETTLER ST STE 455",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112381",
            "telephone_number": "219-864-1100",
            "fax_number": "219-864-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 GETTLER ST STE 455",
            "city": "DYER",
            "state": "IN",
            "postal_code": "46311",
            "telephone_number": "219-864-1100",
            "fax_number": "219-864-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Fir Street",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "East Chicago",
            "state": "IN",
            "postal_code": "46312",
            "country_code": "US",
            "telephone_number": "219-398-9184",
            "fax_number": "219-397-7706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLIANA CARDIOVASCULAR CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-398-9184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01029938",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036056772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR MEDICARE",
            "identifier": "062002709503950",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100322640",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dewnzar Howard, MD
• Hariclia Elena Hristea, MD
• Candice Joi Hunter, M.D.
• Jay S Hwang, M.D.
• Ignite Medical Resort Dyer, LLC
• Illiana Endodontics, P.C.
• Illiana Foot & Ankle Specialists, P.C.
• Obinna Charles Iluba, CRNA
• Incare Home Healthcare, Inc.
• Incare Home Healthcare, Inc.

• Internal Medicine Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.