Organization Active NPI

Neurological & Spinal Surgery PC

  • Neurological Surgery Physician
  • Merrillville, IN
National Provider Identifier
1982646584
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROLOGICAL & SPINAL SURGERY PC
Practice address
200 E 89TH Ave
Suite 3a
Merrillville, IN 46410-7318
Phone
(219) 756-2900
Fax
(219) 756-2910
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Dr. M Hytham Rifai, MD
Title
President
Phone
(219) 756-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

200 E 89TH Ave
Suite 3a
Merrillville, IN 46410-7318

Mailing address

200 E 89TH Ave
Suite 3a
Merrillville, IN 46410-7318
Phone (219) 756-2900

Other identifiers 1

IdentifierTypeStateIssuer
100215300MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000831 IN Part B Supplier - Clinic/Group Practice 9638146780 Receives reassigned benefits from 2 practitioners
Practice locations: Chesterton, IN; Merrillville, IN

National Provider Directory

National Provider Directory

Locations

770 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 595-0630

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1982646584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 89TH AVE",
            "address_2": "SUITE 3A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107318",
            "telephone_number": "219-756-2900",
            "fax_number": "219-756-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 89TH AVE",
            "address_2": "SUITE 3A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107318",
            "telephone_number": "219-756-2900",
            "fax_number": "219-756-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL & SPINAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "RIFAI",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "HYTHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-756-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.