Individual provider Active NPI

Richard O Oni, MD INC

  • Orthopaedic Surgery Physician
  • Merrillville, IN
National Provider Identifier
1831291848
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01030980A Issued in IN
Practice address
5525 Broadway
Merrillville, IN 46410-2782
Phone
(219) 884-1551
Fax
(219) 887-6334
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01030980A IN Primary

Addresses

Primary practice location

5525 Broadway
Merrillville, IN 46410-2782

Mailing address

5525 Broadway
Merrillville, IN 46410-2782
Phone (219) 884-1551

Other identifiers 4

IdentifierTypeStateIssuer
200014830AMedicaidIN
100166600AMedicaidIN
000000085298OtherINBCBS OF INDIANA
91107850OtherILBCBS OF ILL

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
I20040323000183 IN Practitioner - Orthopedic Surgery 8426947540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1831291848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102782",
            "telephone_number": "219-884-1551",
            "fax_number": "219-887-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102782",
            "telephone_number": "219-884-1551",
            "fax_number": "219-887-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONI",
        "first_name": "RICHARD",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD INC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01030980A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014830A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100166600A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF INDIANA",
            "identifier": "000000085298",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILL",
            "identifier": "91107850",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.