Active NPI
Nathanael Rumba, CRNA
- Certified Registered Nurse Anesthetist
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28191016A
- Practice address
- 3500 Franciscan Way
Michigan City, IN 46360-0021 - Phone
- (219) 879-8511
- NPI assigned
- Sep 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28191016A | IN | Primary |
Addresses
Primary practice location
3500 Franciscan Way
Michigan City, IN 46360-0021
Mailing address
1401 La Porte Avenue
Valparaiso, IN 46383
Phone (765) 418-6554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Franciscan Way
Franciscian Health Michigan City
Michigan City, IN 46360-0021
Phone (219) 877-8511
Hospital & facility affiliations
- Franciscan Health Michigan City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28191016A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Porte County Anesthesia Associates LLC | Current | Accepting new patients |
Locations
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033
8865 W 400 N
Ste 100
Michigan City, IN 46360
Phone (219) 877-2222
8865 W 400 N
Michigan City, IN 46360
Phone (219) 871-0833
301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Michigan City, IN
- NPI 1477553634
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1619582467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 LA PORTE AVENUE",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "765-418-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 FRANCISCAN WAY",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463600021",
"telephone_number": "219-879-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMBA",
"first_name": "NATHANAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28191016A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.