Individual provider Active NPI

Satish Dasari, M.D.

  • Interventional Pain Medicine Physician
  • Munster, IN
National Provider Identifier
1811996606
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
01036769A Issued in IN
Practice address
8840 Calumet Ave
Suite 103
Munster, IN 46321-2529
Phone
(219) 836-7246
Fax
(219) 836-6454
NPI assigned
Jul 14, 2005
Last updated
May 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 01036769A IN Primary

Addresses

Primary practice location

8840 Calumet Ave
Suite 103
Munster, IN 46321-2529

Mailing address

8840 Calumet Ave
Suite 102
Munster, IN 46321-2545
Phone (219) 836-7246

Other identifiers 7

IdentifierTypeStateIssuer
01036769AOtherINLICENSE NUMBER
P00277947OtherGAMEDICARE RAILROAD
01036769AOtherILBCBS OF ILLINOIS
050085654OtherGAMEDICARE RAILROAD
5871205OtherINAETNA
100259550AMedicaidIN
000000330864OtherINBLUE CROSS BLUE SHIELD

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
I20051017000354 IN Practitioner - Pain ManagementPractitioner - Interventional Pain Management 5395644413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Specialists, LLCGroup PAC ID 9032134770, 3 clinicians
Midwest Pain Management Centers,LLCGroup PAC ID 5496654618, 9 clinicians

Practice addresses (Care Compare)

24 Joliet St
Dyer, IN 46311-1705
Phone (219) 864-2237

8840 Calumet Ave
Suite 103
Munster, IN 46321-2546
Phone (219) 836-7246

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists LLC CurrentSince May 14, 2003 Accepting new patients
Midwest Pain Management Centers,LLC Interventional Pain Medicine CurrentSince Jan 1, 2002 Accepting new patients

Locations

28354 Network Pl
Chicago, IL 60673

1100 S Calumet Rd
Ste 1
Chesterton, IN 46304
Phone (219) 836-7246

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

8840 Calumet Ave
Ste 103
Munster, IN 46321
Phone (219) 836-7246

Interoperability endpoints

  • Direct secure messaging: sdasari64110@direct.franciscanalliance.org

Organizations & group practices 2

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 4

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1811996606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE",
            "address_2": "SUITE 102",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212545",
            "telephone_number": "219-836-7246",
            "fax_number": "219-836-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE",
            "address_2": "SUITE 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212529",
            "telephone_number": "219-836-7246",
            "fax_number": "219-836-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASARI",
        "first_name": "SATISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01036769A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "01036769A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00277947",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "01036769A",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050085654",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5871205",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100259550A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000330864",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.