Active NPI
Mark Esiyeden
- Non-emergency Medical Transport (VAN)
- Valparaiso, IN
National Provider Identifier
1831654680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 1407 1/2 Chicago Street
4
Valparaiso, IN 46383 - Phone
- (219) 707-3767
- NPI assigned
- Feb 6, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 4420277588 | IN | |
| Taxi | 344600000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
1407 1/2 Chicago Street
4
Valparaiso, IN 46383
Mailing address
1407 1/2 Chicago Street
4
Valparaiso, IN 46383
Phone (219) 707-3767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4420277588 | Other | IN | DRIVERS LICENCE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4420277588 | IN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Sail LLC | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
| Macky Express LLC | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Valparaiso, IN
- NPI 1174280648
-
- Non-emergency Medical Transport (VAN)
- Sauk Village, IL
- NPI 1770306144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1831654680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 1/2 CHICAGO STREET",
"address_2": "4",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "219-707-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 1/2 CHICAGO STREET",
"address_2": "4",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "219-707-3767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESIYEDEN",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IN",
"license": "4420277588",
"primary": false
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENCE",
"identifier": "4420277588",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.