NPIMap

Organization Active NPI

Pithadia Medical Professional Services Inc

  • Family Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1669659942
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01033172A Issued in IN
Legal business name
PITHADIA MEDICAL PROFESSIONAL SERVICES INC
Practice address
2801 Leonard Dr
Valparaiso, IN 46383-7136
Phone
(219) 476-1704
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Bharat K Pithadia, MDNPI 1982664926
Title
Presidetn
Phone
(219) 476-1703

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01033172A IN Primary

Addresses

Primary practice location

2801 Leonard Dr
Valparaiso, IN 46383-7136

Mailing address

2801 Leonard Dr
Valparaiso, IN 46383-7136
Phone (219) 476-1704

National Provider Directory

National Provider Directory

Locations

2801 Leonard Dr
Valparaiso, IN 46383
Phone (219) 476-1703

Practitioners & affiliated clinicians

Practitioners 6

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1669659942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEONARD DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837136",
            "telephone_number": "219-476-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEONARD DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837136",
            "telephone_number": "219-476-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITHADIA MEDICAL PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "PITHADIA",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDETN",
        "authorized_official_telephone_number": "219-476-1703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01033172A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.