Individual provider Active NPI

Margaret Bazarko

  • Speech-Language Pathologist
  • Crown Point, IN
National Provider Identifier
1649637901
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22003634A Issued in IN
Practice address
5521 W Lincoln Hwy
Suite 100
Crown Point, IN 46307-1097
Phone
(219) 756-6100
Fax
(219) 756-6111
NPI assigned
Jan 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22003634A IN Primary

Addresses

Primary practice location

5521 W Lincoln Hwy
Suite 100
Crown Point, IN 46307-1097

Mailing address

5521 W Lincoln Hwy
Suite 100
Crown Point, IN 46307-1097
Phone (219) 756-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001149 IN Practitioner - Qualified Speech Language Pathologist 0345546669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma Care P.C.Group PAC ID 5698779080, 5 clinicians

Practice addresses (Care Compare)

2802 Leonard Dr
Valparaiso, IN 46383-7136
Phone (219) 531-5855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22003634AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jun 20, 2018 Accepting new patients
Allergy Asthma Care P.C. CurrentSince Mar 1, 2016 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jun 20, 2018 Accepting new patients
Kurt Wiese, MD PC Past Accepting new patients

Locations

5521 W Lincoln Hwy
Ste 100
Crown Point, IN 46307
Phone (219) 531-0355

11039 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 462-7773

2802 Leonard Dr
Valparaiso, IN 46383
Phone (219) 531-0355

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.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1649637901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY",
            "address_2": "SUITE 100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071097",
            "telephone_number": "219-756-6100",
            "fax_number": "219-756-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY",
            "address_2": "SUITE 100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071097",
            "telephone_number": "219-756-6100",
            "fax_number": "219-756-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZARKO",
        "first_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003634A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.