Individual provider Active NPI

Bala Rangaswami, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1659312759
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01046233C Issued in IN
Practice address
8902 N Meridian St Ste 101
Indianapolis, IN 46260
Phone
(317) 848-8048
NPI assigned
Jun 9, 2006
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01046233C IN Primary
Internal Medicine Physician 207R00000X 01046233A IN

Addresses

Primary practice location

8902 N Meridian St Ste 101
Indianapolis, IN 46260

Mailing address

8902 N Meridian St Ste 101
Indianapolis, IN 46260-5306

Other practice location 1

3630 Guion Rd
Indianapolis, IN 46222-1616
Phone (317) 920-3235

Other identifiers 2

IdentifierTypeStateIssuer
P01678742OtherINRR PTAN
200042500MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031216000175 IN Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Hospitalist 6305743642 Reassigns benefits to 4 organizations
I20241125002940 IL Practitioner - Internal Medicine 6305743642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northshore Health Centers IncGroup PAC ID 5799671236, shared by 23 NPIs, 31 clinicians

Practice addresses (Care Compare)

1828 165TH St
Hammond, IN 46320-2823
Phone (219) 763-8112

2490 Central Ave
Lake Station, IN 46405-2122
Phone (219) 763-8112

6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone 21976381123233

6091 Broadway
Merrillville, IN 46410-2619
Phone (219) 763-8112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01046233CINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana, Auditor of State CurrentSince Apr 28, 2019 Accepting new patients
State of Indiana, Auditor of State CurrentSince Apr 28, 2019 Accepting new patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Complexcare Medical Group Midwest H PLLC Internal Medicine CurrentSince Sep 5, 2025 Accepting new patients
Northshore Health Centers, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients
Spero Health of Ohio, LLC PastSince Apr 30, 2022 Accepting new patients
Midwest Medical Management, P.C. Internal Medicine Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Past Accepting new patients
Honeywell Emergency Physicians Past Accepting new patients
Carver Health Care Services, Inc. PastSince Jan 6, 2014 Accepting new patients

Locations

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

525 S Macon St
Ste 300
Moweaqua, IL 62550

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 332-4437

501 S Murphy Ave
Brazil, IN 47834
Phone (812) 442-0403

3400 Lincoln Ave
Evansville, IN 47714
Phone (812) 469-6800

5435 E 16th St
Indianapolis, IN 46218
Phone (317) 941-4000

2905 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5491

1098 S State Road 25
Logansport, IN 46947
Phone (574) 722-4141

6091 Broadway
Merrillville, IN 46410

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

402 19th St
Tell City, IN 47586
Phone (812) 547-3427

251 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-6158

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Interoperability endpoints

  • Direct secure messaging: bala.rangaswami.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1659312759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-848-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 Guion Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462221616",
            "country_code": "US",
            "telephone_number": "317-920-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGASWAMI",
        "first_name": "BALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046233C",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046233A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "P01678742",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042500",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.