Organization Active NPI

Region Vein

  • Phlebology Physician
  • Munster, IN
National Provider Identifier
1639794597
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
REGION VEIN
Practice address
931 Ridge Rd Ste C
Munster, IN 46321-1756
Phone
(219) 595-3095
Fax
(219) 881-8776
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Demetrios Karamichos, MDNPI 1376535146
Title
Owner
Phone
(219) 595-3095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

931 Ridge Rd Ste C
Munster, IN 46321-1756

Mailing address

931 Ridge Rd Ste C
Munster, IN 46321-1756
Phone (219) 595-3095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200623002015 IN Part B Supplier - Clinic/Group Practice 3476975384 Receives reassigned benefits from 1 practitioner
Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

931 Ridge Rd
Ste C
Munster, IN 46321
Phone (219) 595-3095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1639794597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 RIDGE RD STE C",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211756",
            "telephone_number": "219-595-3095",
            "fax_number": "219-881-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 RIDGE RD STE C",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211756",
            "telephone_number": "219-595-3095",
            "fax_number": "219-881-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION VEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "KARAMICHOS",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-595-3095",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.