Bina K Parekh, DO
Individual provider Active NPI Family Medicine Physician · St John, IN
NPI 1558458554 · NPPES record last updated Jul 21, 2010
Key facts
- NPI
- 1558458554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02003629A (IN)
- Practice address
- 9660 Wicker Avenue
St John, IN 46373-9487 - Phone
- (219) 365-1166
- Fax
- (219) 365-8852
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Mid West Medical College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Network Inc
Practice addresses (Care Compare)
9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1166
Hospital & facility affiliations
- Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100820000676 | IN | Practitioner - Family Practice | 5890793798 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003629A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Family Medicine | Current |
Accepting new patients |
| West Michigan Family Medicine-Kentwood, PLC | Family Medicine | Past | Accepting new patients |
| Chest Physician Consultants, LTD | Past | Accepting new patients |
Locations
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
9307 Calumet Ave
Ste A2
Munster, IN 46321
Phone (219) 836-2274
10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286
9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203
7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101015986 | MI | |
| Family Medicine Physician | 207Q00000X | 02003629A | IN | Yes |
Addresses
Primary practice location
9660 Wicker Avenue
St John, IN 46373-9487
Mailing address
9660 Wicker Avenue
St John, IN 46373-9487
Phone (219) 365-1166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4930221 | Medicaid | MI | |
| 4930240 | Medicaid | MI | |
| 4930277 | Medicaid | MI | |
| 1598712390 | Other | MI | GROUP NPI |
| 4930203 | Medicaid | MI | |
| 4930188 | Medicaid | MI | |
| 5101015986 | Other | MI | STATE LICENSE NUMBER |
Other providers in St John, IN
- Northshore Health Centers, Inc.
- Northwest Pediatric Dental LLC
- Courtney Olavarria
- Nicole Lynn Olen
- Michael Olenik
- Park Place Christian Community of St. John, Inc.
- Nicole T. Parker
- Shalini Patel
- Shawn Patrick
- Kieran L Penning
All providers in St John, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.