Individual provider Active NPI

Perkin Knot Stang, MD

  • Obstetrics & Gynecology Physician
  • Merrillville, IN
National Provider Identifier
1679616924
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01056783A Issued in IN
Practice address
99 E 86TH Ave
Suite B
Merrillville, IN 46410-6267
Phone
(219) 738-3220
Fax
(219) 736-7164
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01056783A IN
Obstetrics & Gynecology Physician 207V00000X 01056783A IN Primary

Addresses

Primary practice location

99 E 86TH Ave
Suite B
Merrillville, IN 46410-6267

Mailing address

99 E 86TH Ave
Suite B
Merrillville, IN 46410-6267
Phone (219) 738-3220

Other practice location 1

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-8231

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address perkin.stang.1@2484.direct.athenahealth.com Direct
Direct Messaging Address pstang83152@Direct.FranciscanAlliance.org Direct
Direct Messaging Address pstang@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080318000460 IN Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 0749366656 Reassigns benefits to 4 organizations
Practice locations: Merrillville, IN

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pinnacle Healthcare LLCGroup PAC ID 1254331184, 9 clinicians

Practice addresses (Care Compare)

9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone (219) 796-4060

99 E 86TH Ave
Suite B
Merrillville, IN 46410-6267

99 E 86TH Ave B
Merrillville, IN 46410-6267
Phone (219) 738-3220

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • Pinnacle Hospital Hospital, Crown Point, IN, CCN 150166

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056783AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Obstetricians-Gynecologists,Inc Obstetrics & Gynecology CurrentSince Jun 1, 2024 Accepting new patients
Womans Healthcare Associates PC Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Womans Healthcare Associates, P.C. Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Northshore Health Centers, Inc. Family Medicine CurrentSince Feb 15, 2021 Accepting new patients
Northshore Health Centers Inc Current Accepting new patients
Pinnacle Healthcare LLC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Northshore Health Centers, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Pinnacle Healthcare, LLC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Perkin Stang MD Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Prinn K Stang MD Obstetrics & Gynecology PastSince May 7, 2024 Accepting new patients

Locations

7845 Solution Ctr
Chicago, IL 60677

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

550 University Blvd
#2440
Indianapolis, IN 46202
Phone (317) 274-1661

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

3920 St Francis Way
Ste 110
Lafayette, IN 47905
Phone (765) 428-5800

3920 St Francis Way
Ste 100
Lafayette, IN 47905
Phone (765) 428-5800

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

6091 Broadway
Merrillville, IN 46410
Phone (219) 763-8113

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2484/brand/1/csg/1/fhir/r4
  • Direct secure messaging: perkin.stang.1@2484.direct.athenahealth.com
  • Direct secure messaging: pstang2250@themethodisthospitals.direct-ci.com
  • Direct secure messaging: pstang83152@direct.franciscanalliance.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1679616924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E 86TH AVE",
            "address_2": "SUITE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106267",
            "telephone_number": "219-738-3220",
            "fax_number": "219-736-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E 86TH AVE",
            "address_2": "SUITE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106267",
            "telephone_number": "219-738-3220",
            "fax_number": "219-736-7164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-8231",
            "fax_number": "317-948-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANG",
        "first_name": "PERKIN",
        "middle_name": "KNOT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01056783A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01056783A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "perkin.stang.1@2484.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "99 E 86th Ave",
            "address_2": "Suite B",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464106267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstang83152@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3920 St Francis Way Ste 100",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstang@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 University Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.