Active NPI
Arshia Anjum Mohiuddin, NURSE PRACTITIONER
- Family Nurse Practitioner
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002882A
- Practice address
- 761 45TH St Ste 123
Munster, IN 46321-2899 - Phone
- (219) 924-2500
- Fax
- (219) 924-2502
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002882A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71002882A | IN | Primary |
Addresses
Primary practice location
761 45TH St Ste 123
Munster, IN 46321-2899
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
6920 Indianapolis Blvd
Hammond, IN 46324-1150
Phone (219) 763-8112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201080970 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
761 45TH St
Suite 123
Munster, IN 46321-2899
Phone (219) 924-2500
9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1166
Hospital & facility affiliations
- Community Hospital
- Franciscan Health Munster
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.78 of 100
- Quality
- 90.69
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002882A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Community Care Network Inc | Nurse Practitioner | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
6920 Indianapolis Blvd
Hammond, IN 46324
761 45th St
Ste 123
Munster, IN 46321
Phone (219) 924-2500
10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286
9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203
7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
1451 Morthland Dr
Ste D
Valparaiso, IN 46385
Phone (219) 286-3880
Interoperability endpoints
- arshia.mohiuddin.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1639409352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 45TH ST STE 123",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212899",
"telephone_number": "219-924-2500",
"fax_number": "219-924-2502"
}
],
"practiceLocations": [
{
"address_1": "6920 Indianapolis Blvd",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "IN",
"postal_code": "463241150",
"country_code": "US",
"telephone_number": "219-763-8112",
"fax_number": "219-764-3251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHIUDDIN",
"first_name": "ARSHIA",
"middle_name": "ANJUM",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-31",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002882A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002882A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201080970",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.