Individual provider Active NPI

Nishendu Baxi, MD

  • Urology Physician
  • Merrillville, IN
National Provider Identifier
1487646055
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01060538A Issued in IN
Practice address
400 W 84TH Dr
Merrillville, IN 46410-6248
Phone
(219) 736-1255
Fax
(219) 738-1276
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01060538A IN Primary

Addresses

Primary practice location

400 W 84TH Dr
Merrillville, IN 46410-6248

Mailing address

PO Box 10190
400 W 84TH Dr
Merrillville, IN 46411-0190
Phone (219) 736-1255

Other identifiers 1

IdentifierTypeStateIssuer
352029220OtherINCOMMERCIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060538AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Community Ambulatory Care Center L.L.C. Past Accepting new patients
Franciscan Hammond Clinic LLC Past Accepting new patients

Organizations & group practices 2

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1487646055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10190",
            "address_2": "400 W 84TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464110190",
            "telephone_number": "219-736-1255",
            "fax_number": "219-738-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 84TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106248",
            "telephone_number": "219-736-1255",
            "fax_number": "219-738-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXI",
        "first_name": "NISHENDU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01060538A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "352029220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.