Vein Associates of Northwest Indiana LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

01052522A Issued in IN

Legal business name

VEIN ASSOCIATES OF NORTHWEST INDIANA LLC

Practice address

1000 E 80TH PL
Suite 308S
Merrillville, IN 46410-5608

Phone

(219) 736-8118

NPI assigned

Dec 18, 2013

Organization subpart

No

Name

Amjad Alkadri, MDNPI 1407817513

Title

Ceo/Medical Director

Phone

(219) 736-8118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amjad Alkadri, MD

  • Vascular & Interventional Radiology Physician
  • Valparaiso, IN
  • NPI 1407817513

  IN

  Medicare reassignment Care Compare group NPD Authorized official
• Omar Jason Barakat, M.D.

  • Vascular & Interventional Radiology Physician
  • Valparaiso, IN
  • NPI 1114190782

  IN

  Medicare reassignment Care Compare group NPD
• Vivek Mishra, MD

  • Diagnostic Radiology Physician
  • Laporte, IN
  • NPI 1255356085

  IN

  Medicare reassignment Care Compare group NPD
• Steven L Hossler, M.D.

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1124002746

  IN

  Medicare reassignment NPD
• Jeffrey M. Huth, M.D.

  • Diagnostic Radiology Physician
  • Valparaiso, IN
  • NPI 1265472716

  IN

  Medicare reassignment NPD
• Divyesh Gaju Patel, M.D.

  • Diagnostic Radiology Physician
  • Valparaiso, IN
  • NPI 1821137563

  IN

  Medicare reassignment NPD
• Bradley Craig Johnson, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1134414246

  IN

  Medicare reassignment
• Garry Lee Brady, DO

  • General Practice Physician
  • Rensselaer, IN
  • NPI 1457513764
  NPD (past)
• Erin A Husch

  • Nurse Practitioner
  • Wheatfield, IN
  • NPI 1063756138
  NPD (past)
• Esther H. Lee, M.D.

  • Diagnostic Radiology Physician
  • Valparaiso, IN
  • NPI 1073515656
  NPD (past)
• Vimal B Pathak, MD

  • Surgery Physician
  • Merrillville, IN
  • NPI 1245290378
  NPD (past)
• Patrick J Sheets, M.D.

  • Family Medicine Physician
  • Rensselaer, IN
  • NPI 1396704268
  NPD (past)
• Scott A. Williams, RN, CNS, APN

  • Adult Health Clinical Nurse Specialist
  • Rensselaer, IN
  • NPI 1508992140
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in IN

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12167/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2014.

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1801217856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 80TH PL",
            "address_2": "SUITE 308S",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105608",
            "telephone_number": "219-736-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 80TH PL",
            "address_2": "SUITE 308S",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105608",
            "telephone_number": "219-736-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN ASSOCIATES OF NORTHWEST INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "ALKADRI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "219-736-8118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "01052522A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201206110B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201206110A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jermaine Vaughn
• Venkat Vavilala, MD
• Brooklyn Vazquez
• Flavio Vega, PSYD
• Jennifer Vega
• Vein Center of Northwest Indiana
• Vein Center of Northwest Indiana, LTD
• Jacqueline Velasco
• Ronda J Velasquez, RN
• Jazmyn Velazquez

• All providers in Merrillville, IN
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.