Individual provider Active NPI

Renee Katsinis

  • Pediatric Nurse Practitioner
  • Munster, IN
National Provider Identifier
1558748277
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71005426A Issued in IN
Practice address
1946 45TH St Ste C
Munster, IN 46321-3956
Phone
(219) 440-5334
Fax
(219) 440-5335
NPI assigned
May 1, 2015
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71005426A IN Primary

Addresses

Primary practice location

1946 45TH St Ste C
Munster, IN 46321-3956

Mailing address

9725 Prairie Ave
Highland, IN 46322-3616
Phone (219) 924-5300

Other practice location 1

9725 Prairie Ave
Highland, IN 46322-3616
Phone (219) 924-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200326001235 IL Practitioner - Nurse Practitioner 8022447036 Reassigns benefits to 3 organizations
I20211117000905 IN Practitioner - Nurse Practitioner 8022447036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71005426AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince May 26, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 16, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 16, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince May 26, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Community Care Network Inc CurrentSince Nov 28, 2021 Accepting new patients
University of Chicago CurrentSince May 26, 2022 Accepting new patients
Geetha Sivam MD Past Accepting new patients
Lurie Children's Medical Group, LLC Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

225 E Chicago Ave
#118
Chicago, IL 60611

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

1946 45th St
Ste C
Munster, IN 46321
Phone (219) 440-5334

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

Interoperability endpoints

  • Direct secure messaging: rkatsinis164861@uchospital.direct-ci.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1558748277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 PRAIRIE AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223616",
            "telephone_number": "219-924-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 45TH ST STE C",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213956",
            "telephone_number": "219-440-5334",
            "fax_number": "219-440-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9725 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223616",
            "country_code": "US",
            "telephone_number": "219-924-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSINIS",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71005426A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.