Active NPI
Tikiri Ratnayake M.D., Inc.
- Health Service Clinic/Center
- Valparaiso, IN
National Provider Identifier
1629235403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- IN01028333
- Legal business name
- TIKIRI RATNAYAKE M.D., INC.
- Practice address
- 1910 Calumet Ave
Valparaiso, IN 46383-2704 - Phone
- (219) 464-8115
- NPI assigned
- May 20, 2008
- Last updated
- Aug 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Haroon Naz
- Title
- Ceo
- Phone
- (219) 756-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | IN01028333 | IN | Primary |
Addresses
Primary practice location
1910 Calumet Ave
Valparaiso, IN 46383-2704
Mailing address
PO Box 1249
Valparaiso, IN 46384-1249
Phone (219) 464-8115
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Pinnacle Medical Group
- Family Medicine Physician
- Crown Point, IN
- NPI 1184916447
Member Of
Locations
10971 Four Seasons Pl
Ste 121
Crown Point, IN 46307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346112000000",
"number": "1629235403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1249",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463841249",
"telephone_number": "219-464-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 CALUMET AVE",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832704",
"telephone_number": "219-464-8115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIKIRI RATNAYAKE M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2012-08-28",
"status": "A",
"authorized_official_last_name": "NAZ",
"authorized_official_first_name": "HAROON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "219-756-2100"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IN",
"license": "IN01028333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.