Active NPI
Ryan C Cmejrek, M.D.
- Otolaryngology Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01060618A
- Practice address
- 99 E 86TH Ave
Ste a
Merrillville, IN 46410-6381 - Phone
- (219) 738-2617
- Fax
- (219) 769-5830
- NPI assigned
- Jul 20, 2005
- Last updated
- Dec 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01060618A | IN | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | 01060618A | IN | |
| Facial Plastic Surgery Physician | 207YS0123X | 01060618A | IN | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 01060618A | IN | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 01060618A | IN |
Addresses
Primary practice location
99 E 86TH Ave
Ste a
Merrillville, IN 46410-6381
Mailing address
99 E 86TH Ave
Ste a
Merrillville, IN 46410-6381
Phone (219) 738-2617
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 738-2617
2211 Main St
Suite 1a
Highland, IN 46322-3514
Phone (219) 836-2201
99 E 86TH Ave
Suite a
Merrillville, IN 46410-6267
Phone (219) 738-2617
99 E 86TH Ave a
Merrillville, IN 46410-6267
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060618A | IN | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepointe, P.C. | Otolaryngology | Current | Accepting new patients |
| Otolaryngology Associates of Northwest Indiana LLC | Otolaryngology | Current | Accepting new patients |
| Southlake Speech & Hearing Center, Inc | Past | Accepting new patients |
Locations
2211 Main St
Ste 1A
Highland, IN 46322
Phone (219) 836-2201
1400 S Lake Park Ave
Ste SP401
Hobart, IN 46342
99 E 86th Ave
Ste A
Merrillville, IN 46410
Phone (219) 738-2528
Interoperability endpoints
- rcmejrek83158@direct.franciscanalliance.org
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Merrillville, IN
- NPI 1023031911
-
- Audiologist
- Highland, IN
- NPI 1124782842
Otolaryngology
-
- Audiologist
- Merrillville, IN
- NPI 1609943380
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1710986765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E 86TH AVE",
"address_2": "STE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106381",
"telephone_number": "219-738-2617",
"fax_number": "219-769-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E 86TH AVE",
"address_2": "STE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106381",
"telephone_number": "219-738-2617",
"fax_number": "219-769-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CMEJREK",
"first_name": "RYAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01060618A",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "IN",
"license": "01060618A",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "IN",
"license": "01060618A",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "IN",
"license": "01060618A",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "IN",
"license": "01060618A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.
- 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.