John L Kniaz, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

02000771 Issued in IN

Practice address

9410 Calumet Ave Ste 401
Munster, IN 46321-0018

Phone

(219) 922-4900

Fax

(219) 836-9922

NPI assigned

Sep 21, 2006

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Dalal Medical Corporation

  dba Centers for Digestive Health

  • Gastroenterology Physician
  • Munster, IN
  • NPI 1720024615
  Medicare reassignment NPD
• Community Care Network Inc

  dba Powers Health Medical Group

  • Family Medicine Physician
  • Saint John, IN
  • NPI 1457610487
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1659470110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 W. 101st Ave.",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "46311",
            "country_code": "US",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIAZ",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "02000771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "211956",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100354640A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "628340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Kiszka, AGACNP-BC
• Kyle Kleist, D.O.
• Alexa Catherine Klimek, PHARMD
• Ashlyn Pyfer Knesek, PSYD HSPP
• Michael Knesek, MD
• Shannen Idalene Knight
• Katlin Knox
• Maressa Judith Kolo, RPH
• Padmaja Kondamuri, M.D.
• Saveen Kondamuri, M.D.

• Gastroenterology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Gastroenterology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.