Individual provider Active NPI

Charles Mylan Chuman Sr., M.D.

  • Neurological Surgery Physician
  • Crown Point, IN
National Provider Identifier
1477578631
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01035829 Issued in IN
Practice address
297 W Franciscan Lane
Suite 207
Crown Point, IN 46307-4859
Phone
(219) 757-6410
Fax
(219) 757-6166
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01035829 IN Primary

Addresses

Primary practice location

297 W Franciscan Lane
Suite 207
Crown Point, IN 46307-4859

Mailing address

PO Box 1009
Chesterton, IN 46304-0009
Phone (219) 757-6410

Other identifiers 3

IdentifierTypeStateIssuer
0004048160OtherINAETNA
000000080236OtherINANTHEM
0091107960OtherINILLINOIS BLUE CROSS

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
I20100430000372 IN Practitioner - Neurosurgery 6608903299 Practice locations: Crown Point, IN; Hobart, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01035829INMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates S C Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cchuman83081@direct.franciscanalliance.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1477578631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040009",
            "telephone_number": "219-757-6410",
            "fax_number": "219-757-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 W FRANCISCAN LANE",
            "address_2": "SUITE 207",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074859",
            "telephone_number": "219-757-6410",
            "fax_number": "219-757-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMAN",
        "first_name": "CHARLES",
        "middle_name": "MYLAN",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01035829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004048160",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000080236",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BLUE CROSS",
            "identifier": "0091107960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.