Individual provider Active NPI

Ammar M Shaheen, MD

  • Pulmonary Disease Physician
  • Merrillville, IN
National Provider Identifier
1801095989
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01039733A Issued in IN
Practice address
8909 Broadway
Merrillville, IN 46410-7039
Phone
(219) 769-0054
Fax
(219) 769-1793
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01039733A IN Primary

Addresses

Primary practice location

8909 Broadway
Merrillville, IN 46410-7039

Mailing address

8909 Broadway
Merrillville, IN 46410-7039
Phone (219) 769-0054

Other identifiers 1

IdentifierTypeStateIssuer
201085710MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121004000440 IN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7911925656 Reassigns benefits to 2 organizations
I20160205000546 MS Practitioner - Internal Medicine 7911925656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

8909 Broadway
Merrillville, IN 46410-7039
Phone (219) 769-0054

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chest Diseases Associates PC Pulmonary Disease CurrentSince Aug 15, 2012 Accepting new patients
Community Care Network Inc CurrentSince Jun 20, 2022 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Dec 21, 2015 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Dec 21, 2015 Accepting new patients

Locations

8135 E 109th Ave
Crown Point, IN 46307
Phone (219) 756-3482

9235 Broadway
Merrillville, IN 46410
Phone (219) 738-2255

8909 Broadway
Merrillville, IN 46410
Phone (219) 756-6400

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3800 Saint Mary Rd
Ste 103
Valparaiso, IN 46383
Phone (219) 464-2123

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185

Interoperability endpoints

  • Direct secure messaging: nwmashahe@yourcarecommunity.org
  • Direct secure messaging: ashaheen53434@themethodisthospitals.direct-ci.com

Organizations & group practices 4

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 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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1801095989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107039",
            "telephone_number": "219-769-0054",
            "fax_number": "219-769-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107039",
            "telephone_number": "219-769-0054",
            "fax_number": "219-769-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "AMMAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01039733A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201085710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.