Organization Active NPI

Michiana Hematology-Oncology P C

  • Hematology & Oncology Physician
  • Plymouth, IN
National Provider Identifier
1487793873
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MICHIANA HEMATOLOGY-ONCOLOGY P C
Practice address
2855 Miller Dr Ste 119
Plymouth, IN 46563-8091
Phone
(574) 936-2585
Fax
(574) 936-3887
NPI assigned
Feb 5, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Bilal Ansari, MDNPI 1386648749
Title
President
Phone
(574) 261-0794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 23

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

National Provider Directory

National Provider Directory

Locations

500 Arcade Ave
Ste 240
Elkhart, IN 46514
Phone (574) 389-0414

211 N Eddy St
Ste Mho
South Bend, IN 46617
Phone (574) 204-7300

707 Cedar St
Ste 100
South Bend, IN 46617
Phone (574) 237-8007

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

NPPES NPI Registry

Primary practice location

2855 Miller Dr Ste 119
Plymouth, IN 46563-8091

Mailing address

PO Box 746092
Atlanta, GA 30374-6092
Phone (574) 334-5400

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
100389430MedicaidIN
1176700001OtherINNSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 6, 2026.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1487793873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746092",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746092",
            "telephone_number": "574-334-5400",
            "fax_number": "574-968-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR STE 119",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638091",
            "telephone_number": "574-936-2585",
            "fax_number": "574-936-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA HEMATOLOGY-ONCOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-261-0794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389430",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "1176700001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.