Organization Active NPI

Neurology Consultants of Northwest Indiana, P.C.

  • Neurology Physician
  • Crown Point, IN
National Provider Identifier
1609322890
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01067804A Issued in IN
Legal business name
NEUROLOGY CONSULTANTS OF NORTHWEST INDIANA, P.C.
Practice address
5521 W Lincoln Hwy Ste 100
Crown Point, IN 46307-1098
Phone
(219) 750-9665
Fax
(219) 750-9672
NPI assigned
Aug 29, 2016
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Dr. Aisha ShareefNPI 1669632964
Title
Owner/Provider
Phone
(219) 750-9665

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
Neurology Physician 2084N0400X 01067804A IN Primary

Addresses

Primary practice location

5521 W Lincoln Hwy Ste 100
Crown Point, IN 46307-1098

Mailing address

5521 W Lincoln Hwy Ste 100
Crown Point, IN 46307-1098
Phone (219) 750-9665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161020000504 IN Part B Supplier - Clinic/Group Practice 9830477124 Receives reassigned benefits from 2 practitioners
Practice locations: Crown Point, IN

National Provider Directory

National Provider Directory

Locations

5521 W Lincoln Hwy
Ste 100
Crown Point, IN 46307
Phone (219) 531-0355

5521 W Lincoln Hwy
Ste 300
Crown Point, IN 46307
Phone (219) 750-9665

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1609322890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY STE 100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071098",
            "telephone_number": "219-750-9665",
            "fax_number": "219-750-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY STE 100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071098",
            "telephone_number": "219-750-9665",
            "fax_number": "219-750-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CONSULTANTS OF NORTHWEST INDIANA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "SHAREEF",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "219-750-9665",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01067804A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.