Active NPI
Seferino Farias, MD
- Surgery Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01053482A
- Practice address
- 12800 Mississippi Pkwy Ste C101
Crown Point, IN 46307-6901 - Phone
- (219) 661-0444
- Fax
- (219) 226-1222
- NPI assigned
- Jun 15, 2005
- Last updated
- Apr 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01053482A | IN | Primary |
Addresses
Primary practice location
12800 Mississippi Pkwy Ste C101
Crown Point, IN 46307-6901
Mailing address
1040 Sierra Dr Ste 400
Greenwood, IN 46143-7241
Phone (317) 528-4800
Other practice location 1
333 W 89th Ave Ste W1
Merrillville, IN 46410-7050
Phone (219) 661-0444
Other practice location 2
1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 661-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200280620 | Medicaid | IN | |
| IN1798 | Other | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfarias4281@Direct.FranciscanAlliance.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthony Medical Center | Past | Accepting new patients | |
| Surgical Associates of Northwest Indiana, P.C. | Surgery | Past | Accepting new patients |
| Methodist Hospitals Pathology LLC | Past | Accepting new patients | |
| St Mary Medical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- sfarias@direct.meditouchehr.com
- sfarias4281@direct.franciscanalliance.org
Organizations & group practices 5
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.
-
- Surgery Physician
- Crown Point, IN
- NPI 1235553454
-
- Anatomic Pathology & Clinical Pathology Physician
- Gary, IN
- NPI 1740250075
-
dba Franciscan Physician Network
- Multi-Specialty Clinic/Center
- Crown Point, IN
- NPI 1568402774
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- Surgery Physician
- Merrillville, IN
- NPI 1588750749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1821093923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR STE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12800 MISSISSIPPI PKWY STE C101",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463076901",
"telephone_number": "219-661-0444",
"fax_number": "219-226-1222"
}
],
"practiceLocations": [
{
"address_1": "333 W 89th Ave Ste W1",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464107050",
"country_code": "US",
"telephone_number": "219-661-0444",
"fax_number": "219-661-8111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1104 E Grace St",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "IN",
"postal_code": "479783211",
"country_code": "US",
"telephone_number": "219-661-0444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARIAS",
"first_name": "SEFERINO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01053482A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200280620",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN1798",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfarias4281@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1104 E Grace St",
"city": "Rensselaer",
"state": "IN",
"country_code": "US",
"postal_code": "479783211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.