Elite Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01034369A Issued in IN

Legal business name

ELITE INTERNAL MEDICINE PC

Practice address

1242 Surrey CT
Crown Point, IN 46307-5239

Phone

(219) 769-3550

Fax

(219) 769-2642

NPI assigned

Jun 14, 2008

Last updated

Dec 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Raenette Napier

Title

Office Manager

Phone

(219) 769-3550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 3

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.

• Boyann Bea Bonjean, NP

  • Family Nurse Practitioner
  • Merrillville, IN
  • NPI 1376184010
  Medicare reassignment Care Compare group NPD
• Zafar U Khalid, MD

  • Internal Medicine Physician
  • Merrillville, IN
  • NPI 1689657975
  Medicare reassignment Care Compare group NPD
• Shannon Michele Gavin, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Chesterton, IN
  • NPI 1801199070
  NPD (past)

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1528228301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463080438",
            "telephone_number": "219-769-3550",
            "fax_number": "219-769-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 SURREY CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075239",
            "telephone_number": "219-769-3550",
            "fax_number": "219-769-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-14",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "NAPIER",
        "authorized_official_first_name": "RAENETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-769-3550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01034369A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Eich, LMHC
• Paul W Ek
• Vignan Ele, AU.D.
• Elite Diagnostics LLC
• Elite Diagnostics, LLC
• Elite Vision Consultants
• Arnolfo B Elman, M.D.
• Kaitlin Elsasser
• Said Elshity, RPT
• Laura Mae Emery, FNP

• Internal Medicine Physician in Crown Point, IN
• Providers in Crown Point, 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 Dec 5, 2012; 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.