Organization Active NPI

Nasir a Shamsi, MD PC

  • Pediatrics Physician
  • Hammond, IN
National Provider Identifier
1578872057
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01043702 Issued in IN
Legal business name
NASIR A SHAMSI, MD PC
Practice address
6933 Kennedy Ave St C
Hammond, IN 46323-2210
Phone
(219) 844-2256
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Nasir A Shamsi, MDNPI 1881782910
Title
President
Phone
(219) 844-2256

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 01043702 IN Primary

Addresses

Primary practice location

6933 Kennedy Ave St C
Hammond, IN 46323-2210

Mailing address

6933 Kennedy Ave
Hammond, IN 46323-2210
Phone (219) 844-2256

Other identifiers 1

IdentifierTypeStateIssuer
20007990MedicaidIN

National Provider Directory

National Provider Directory

Locations

6933 Kennedy Ave
Ste C
Hammond, IN 46323
Phone (219) 844-2256

6933 Kennedy Ave
#C
Hammond, IN 46323
Phone (219) 844-2256

6933 Kennedy Ave
Hammond, IN 46323
Phone (219) 844-1220

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1578872057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 KENNEDY AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232210",
            "telephone_number": "219-844-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6933 KENNEDY AVE ST C",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232210",
            "telephone_number": "219-844-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIR A SHAMSI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "NASIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-844-2256",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01043702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20007990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.