Individual provider Active NPI

Ryan C Cmejrek, M.D.

  • Otolaryngology Physician
  • Merrillville, IN
National Provider Identifier
1710986765
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01060618A Issued in IN
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000804 IN Practitioner - Otolaryngology 3678519972 Reassigns benefits to 2 organizations

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
Carepointe, P.C.Group PAC ID 6608812003, 7 clinicians

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

LicenseStateTypeSpecialty
01060618AINMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepointe, P.C. Otolaryngology CurrentSince Aug 1, 2005 Accepting new patients
Otolaryngology Associates of Northwest Indiana LLC Otolaryngology CurrentSince Aug 6, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.