Organization Active NPI

Tikiri Ratnayake M.D., Inc.

  • Health Service Clinic/Center
  • Valparaiso, IN
National Provider Identifier
1629235403
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
IN01028333 Issued in IN
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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)CodeLicenseStatePrimary
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

Other identifiers 2

IdentifierTypeStateIssuer
000000085652OtherINBLUE CROSS PIN
000000084568OtherINBLUE CROSS PIN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1910 Calumet Ave
Valparaiso, IN 46383
Phone (219) 462-0014

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "000000085652",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "000000084568",
            "state": "IN"
        }
    ],
    "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.

Verify at the official NPI Registry.