NPIMap

Organization Active NPI

Pinnacle Healthcare LLC

Doing business as Pinnacle Hospital

  • General Acute Care Hospital
  • Crown Point, IN
National Provider Identifier
1801969670
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
07-006619-1 Issued in IN
Legal business name
PINNACLE HEALTHCARE LLC
Doing business as
Pinnacle Hospital
Practice address
9301 Connecticut Dr
Crown Point, IN 46307
Phone
(219) 756-2100
NPI assigned
Nov 17, 2006
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mr. B. Don Burman
Title
Ceo
Phone
(219) 756-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 07-006619-1 IN Primary

Addresses

Primary practice location

9301 Connecticut Dr
Crown Point, IN 46307

Mailing address

PO Box 1459
Crown Point, IN 46308-1459
Phone (219) 756-2100

Other names 1

  • Pinnacle Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061228000054 IN Part A Provider - Hospital 1254331184 Practice locations: Crown Point, IN
O20080430000005 IN Part B Supplier - Clinic/Group Practice 1254331184 Receives reassigned benefits from 29 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crown Point, IN; Mishawaka, IN; Lowell, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801969670. Details of each certification follow.

Hospital certification: CCN 150166

Legal name
PINNACLE HEALTHCARE LLC
Doing business as
PINNACLE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 1, 2007
Last certification
Nov 21, 2019
Beds
18
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Incorporated
Jan 31, 2005 in IN
Enrollment address
9301 Connecticut Dr
Crown Point, IN 46307-7486
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Pinnacle HospitalCCN 150166 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pinnacle Healthcare LLC Organization, Merrillville, IN Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2007
Brent a Jacobus Individual 5% Or Greater Direct Ownership Interest Apr 1, 2007
OtherPresident of Medical Staff Feb 24, 2015
Arshad P Malik Individual Corporate OfficerBoard Member Feb 24, 2015
Ramesh Unni Individual General Partnership Interest Jan 16, 2017
David a Bleza Individual Corporate OfficerBoard Member Jan 1, 2015
Haroon R Ansari Individual Corporate OfficerCeo May 5, 2010
W-2 Managing EmployeeCeo Mar 26, 2015
Ramesh P Kanuru Individual 5% Or Greater Direct Ownership Interest Apr 1, 2007
Corporate OfficerBoard Member Feb 24, 2015
Brett a Brechner Individual Corporate OfficerBoard Member Feb 24, 2015
Lonnie R Ailes Individual 5% Or Greater Direct Ownership Interest Apr 1, 2007
General Partnership Interest Jan 16, 2017
Corporate OfficerBoard Member Feb 24, 2015
William Pierce Individual 5% Or Greater Direct Ownership Interest Jan 16, 2017
General Partnership Interest Jan 16, 2017
Corporate OfficerBoard Member Feb 24, 2015
Eric J Leestma Individual 5% Or Greater Direct Ownership Interest Apr 1, 2007
General Partnership Interest Jan 16, 2017
Corporate DirectorBoard Member Feb 24, 2015

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 60

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 60

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1801969670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081459",
            "telephone_number": "219-756-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-756-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BURMAN",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-756-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "07-006619-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.