Active NPI
Mansueto Silverman, M.D.
- Internal Medicine Physician
- Highland, IN
National Provider Identifier
1730184466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 010357001
- Practice address
- 9006 Indianapolis Blvd
Highland, IN 46322-2501 - Phone
- (219) 923-2241
- Fax
- (219) 838-3455
- NPI assigned
- Jun 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 010357001 | IN | Primary |
Addresses
Primary practice location
9006 Indianapolis Blvd
Highland, IN 46322-2501
Mailing address
PO Box 1134
Crown Point, IN 46308-1134
Phone (219) 662-3931
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110234218 | Other | IN | MEDICARE RR |
| 100214260 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010357001 | IN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1730184466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1134",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463081134",
"telephone_number": "219-662-3931",
"fax_number": "219-663-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9006 INDIANAPOLIS BLVD",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222501",
"telephone_number": "219-923-2241",
"fax_number": "219-838-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERMAN",
"first_name": "MANSUETO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "010357001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "110234218",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100214260",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.