Individual provider Active NPI

Nirmala Pinnamaneni, M.D.

  • Obstetrics & Gynecology Physician
  • Munster, IN
National Provider Identifier
1881690527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01027916A Issued in IN
Practice address
9307 Calumet Ave
Ste A2
Munster, IN 46321-2892
Phone
(219) 836-2274
Fax
(219) 836-4200
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01027916A IN Primary

Addresses

Primary practice location

9307 Calumet Ave
Ste A2
Munster, IN 46321-2892

Mailing address

9307 Calumet Ave
Ste A2
Munster, IN 46321-2892
Phone (219) 836-2274

Other identifiers 2

IdentifierTypeStateIssuer
000000215414OtherBLUE CROSS BLUE SHIELD
0091107872OtherILBCBS ILLINOIS

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

State licenses

LicenseStateTypeSpecialty
01027916AINMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881690527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9307 CALUMET AVE",
            "address_2": "STE A2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212892",
            "telephone_number": "219-836-2274",
            "fax_number": "219-836-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 CALUMET AVE",
            "address_2": "STE A2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212892",
            "telephone_number": "219-836-2274",
            "fax_number": "219-836-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNAMANENI",
        "first_name": "NIRMALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01027916A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000215414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ILLINOIS",
            "identifier": "0091107872",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.