Organization Active NPI

Shaheen Parvez MD PC

  • Surgery Physician
  • Munster, IN
National Provider Identifier
1699852459
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01039726 Issued in IN
Legal business name
SHAHEEN PARVEZ MD PC
Practice address
1640 45TH Ave
Munster, IN 46321-3914
Phone
(219) 513-0999
Fax
(219) 513-9032
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Shaheen Parvez, MDNPI 1639149628
Title
Physician/Owner
Phone
(219) 513-0999

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 01039726 IN Primary

Addresses

Primary practice location

1640 45TH Ave
Munster, IN 46321-3914

Mailing address

PO Box 516
Schererville, IN 46375-0516
Phone (219) 513-0999

Other identifiers 1

IdentifierTypeStateIssuer
10047375013 BMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429001209 IN Part B Supplier - Clinic/Group Practice 8527195171 Receives reassigned benefits from 1 practitioner
Practice locations: Munster, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1022171Shaheen Parvez MD PC1640 45TH St, Munster, IN 46321Certificate of waiverFeb 8, 2028

National Provider Directory

National Provider Directory

Locations

850 W Jackson Blvd
Ste 650
Chicago, IL 60607
Phone (312) 421-6800

20280 Governors Hwy
Olympia Fields, IL 60461
Phone (312) 248-3481

7330 W College Dr
Ste 205
Palos Heights, IL 60463
Phone (708) 532-1396

8051 186th St
Ste A
Tinley Park, IL 60487
Phone (708) 342-7076

1640 45th St
Munster, IN 46321
Phone (219) 513-0999

Practitioners & affiliated clinicians

Practitioners 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1699852459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463750516",
            "telephone_number": "219-513-0999",
            "fax_number": "219-513-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213914",
            "telephone_number": "219-513-0999",
            "fax_number": "219-513-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHEEN PARVEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "PARVEZ",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "219-513-0999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01039726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10047375013 B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.