NPIMap

Organization Active NPI

Community Care Network Inc

Doing business as Powers Health Medical Group

  • Family Medicine Physician
  • Saint John, IN
National Provider Identifier
1457610487
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY CARE NETWORK INC
Doing business as
Powers Health Medical Group
Practice address
9660 Wicker Ave
St John, IN 46373-9487
Phone
(219) 365-7620
Fax
(219) 226-2287
NPI assigned
May 11, 2012
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Alan Madhur KumarNPI 1942318548
Title
Administrator
Phone
(219) 703-1619

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 14

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Clinical Nurse Specialist 364S00000X NU
Midwife 176B00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Neurological Surgery Physician 207T00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Pediatrics Physician 208000000X NU
Neurology Physician 2084N0400X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
General Practice Physician 208D00000X NU
Interventional Pain Medicine Physician 208VP0014X NU

Addresses

Primary practice location

9660 Wicker Ave
St John, IN 46373-9487

Mailing address

9660 Wicker Ave
St John, IN 46373-9487
Phone (219) 365-7620

Other names 1

  • Powers Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000331 IN Part B Supplier - Clinic/Group Practice 3678737012 Receives reassigned benefits from 629 practitioners
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 80)

600 S Paulina St
Chicago, IL 60612
Phone (312) 942-0312

10607 Randolph St
Ste Cd
Crown Point, IN 46307
Phone (219) 942-5544

10607 Randolph St
Ste E
Crown Point, IN 46307
Phone (219) 662-7013

6625 W Lincoln Hwy
Ste 4
Crown Point, IN 46307
Phone (219) 515-6458

1001 Main St
Fl 3
Dyer, IN 46311
Phone (219) 440-5334

1001 Main St
Ste 2
Dyer, IN 46311
Phone (219) 836-5512

4035 Elm St
East Chicago, IN 46312
Phone (219) 397-2522

4321 Fir St
Ste 211
East Chicago, IN 46312
Phone (219) 703-2577

2200 169th St
Rm 34
Hammond, IN 46323
Phone (219) 989-1235

2300 173rd St
Rm 143
Hammond, IN 46323
Phone (219) 989-3105

7217 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 554-4080

3100 45th St
Ste 4
Highland, IN 46322
Phone (219) 922-6911

8141 Kennedy Ave
Highland, IN 46322
Phone (219) 838-5040

1354 S Lake Park Ave
#B
Hobart, IN 46342
Phone (219) 836-1310

1400 S Lake Park Ave
Ste 105
Hobart, IN 46342
Phone (219) 942-5544

1400 S Lake Park Ave
Ste 200202
Hobart, IN 46342
Phone (219) 947-6122

1400 S Lake Park Ave
Ste 300
Hobart, IN 46342
Phone (219) 942-1169

1400 S Lake Park Ave
Ste 301
Hobart, IN 46342
Phone (219) 762-0400

1400 S Lake Park Ave
Ste 304
Hobart, IN 46342
Phone (219) 947-6638

1500 S Lake Park Ave
#401
Hobart, IN 46342
Phone (219) 945-4409

1500 S Lake Park Ave
#402
Hobart, IN 46342
Phone (219) 945-4488

1500 S Lake Park Ave
#403
Hobart, IN 46342
Phone (219) 947-6795

1500 S Lake Park Ave
#405
Hobart, IN 46342
Phone (219) 942-5544

1500 S Lake Park Ave
Slp Diagnostics
Hobart, IN 46342
Phone (219) 947-6790

1500 S Lake Park Ave
Ste 110
Hobart, IN 46342
Phone (219) 947-6017

Practitioners & affiliated clinicians

Practitioners 735

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.

View all 735

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1457610487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVE",
            "city": "ST JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-365-7620",
            "fax_number": "219-226-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVE",
            "city": "ST JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-365-7620",
            "fax_number": "219-226-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MADHUR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-703-1619"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powers Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint John, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.