Dr. Daksha Vyas M.D.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

DR. DAKSHA VYAS M.D.

Practice address

200 E 89TH Ave Ste 3B
Merrillville, IN 46410-7319

Phone

(219) 769-7861

Fax

(219) 769-6281

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Andrea L Brooks

Title

Office Manager

Phone

(219) 769-7861

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PRACTICE LIMITED TO NEUROLOGY, CHRONIC PAIN MANAGEMENT & SLEEP DISORDE Other name

Locations

Practitioners 1

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

• Daksha C Vyas, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Merrillville, IN
  • NPI 1922190859
  NPD

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1851976641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 89TH AVE STE 3B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107319",
            "telephone_number": "219-769-7861",
            "fax_number": "219-769-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 89TH AVE STE 3B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107319",
            "telephone_number": "219-769-7861",
            "fax_number": "219-769-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAKSHA VYAS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-769-7861",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100169820",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130001339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRACTICE LIMITED TO NEUROLOGY, CHRONIC PAIN MANAGEMENT & SLEEP DISORDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Neurology with Special Qualifications in Child Neurology Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.