NPIMap

Organization Active NPI

Munster Medical Research Foundation Inc

  • Anesthesiology Physician
  • Munster, IN
National Provider Identifier
1982653044
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MUNSTER MEDICAL RESEARCH FOUNDATION INC
Practice address
901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321
Phone
(219) 836-7040
Fax
(219) 513-1127
NPI assigned
May 8, 2006
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNSTER MEDICAL RESEARCH FOUNDATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mrs. Char Kullerstrand
Title
Regional Director Patient Financial
Phone
(219) 934-8994

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321

Mailing address

901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321-2901
Phone (219) 836-7040

Other identifiers 5

IdentifierTypeStateIssuer
000000100902OtherINANTHEM BCBS
CE8881OtherINMEDICARE RAILROAD
200261490BMedicaidIN
200261490BOtherINMDWISE
90000960OtherINBCBS OF ILLINOIS

Other names 1

  • COMMUNITY ANESTHESIOLOGISTS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623000905 IN Part B Supplier - Clinic/Group Practice 8123913183 Receives reassigned benefits from 2 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Munster, IN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Community Hospital

Locations

10607 Randolph St
Ste B
Crown Point, IN 46307

9003 Calumet Ave
Ste 501
Munster, IN 46321
Phone (219) 836-5167

9046 Columbia Ave
#A
Munster, IN 46321
Phone (219) 703-2460

9046A Columbia Ave
Munster, IN 46321
Phone (219) 703-2460

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1982653044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-7040",
            "fax_number": "219-513-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-836-7040",
            "fax_number": "219-513-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER MEDICAL RESEARCH FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSTER MEDICAL RESEARCH FOUNDATION INC",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "KULLERSTRAND",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR PATIENT FINANCIAL",
        "authorized_official_telephone_number": "219-934-8994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000100902",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CE8881",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200261490B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDWISE",
            "identifier": "200261490B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "90000960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY ANESTHESIOLOGISTS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COMMUNITY ANESTHESIOLOGISTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 11, 2024; 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.