Individual provider Active NPI

Aurelia Mican, M.D.

  • Pediatrics Physician
  • Dyer, IN
National Provider Identifier
1629019096
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01050320A Issued in IN
Practice address
233 High Point TRL
Dyer, IN 46311-4602
Phone
(219) 836-5800
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01050320A IN Primary

Addresses

Primary practice location

233 High Point TRL
Dyer, IN 46311-4602

Mailing address

233 High Point TRL
Dyer, IN 46311-4602
Phone (219) 836-5800

Other practice location 1

7905 Calumet Ave
Hammond Clinic LLC
Munster, IN 46321-1215
Phone (219) 836-7214

Other practice location 2

9800 Valparaiso Dr
Munster, IN 46321-4040
Phone (219) 934-9800

Other identifiers 1

IdentifierTypeStateIssuer
200217070MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amican64155@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01050320AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Hammond Clinic LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amican64155@direct.franciscanalliance.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1629019096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 HIGH POINT TRL",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463114602",
            "telephone_number": "219-836-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 HIGH POINT TRL",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463114602",
            "telephone_number": "219-836-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7905 Calumet Ave",
            "address_2": "Hammond Clinic LLC",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211215",
            "country_code": "US",
            "telephone_number": "219-836-7214",
            "fax_number": "219-924-8794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9800 Valparaiso Dr",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214040",
            "country_code": "US",
            "telephone_number": "219-934-9800",
            "fax_number": "219-924-8831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICAN",
        "first_name": "AURELIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01050320A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200217070",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amican64155@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7905 Calumet Ave",
            "address_2": "Hammond Clinic LLC",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463211215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.