NPIMap

Organization Active NPI

Hoosier Medtrans LLC

  • Transportation Broker
  • South Bend, IN
National Provider Identifier
1831817246
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
HOOSIER MEDTRANS LLC
Practice address
509 Carroll St
South Bend, IN 46601-2405
Phone
(574) 999-0070
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Adiba ChaddherNPI 1316698897
Title
President
Phone
(317) 536-5949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

509 Carroll St
South Bend, IN 46601-2405

Mailing address

509 Carroll St
South Bend, IN 46601-2405
Phone (574) 999-0070

Other names 1

  • Hoosier Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

509 Carroll St
South Bend, IN 46601
Phone (317) 536-5949

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1831817246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CARROLL ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012405",
            "telephone_number": "574-999-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 CARROLL ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012405",
            "telephone_number": "574-999-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER MEDTRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "CHADDHER",
        "authorized_official_first_name": "ADIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-536-5949"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoosier Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.