Active NPI
Mark T. Kinne, M.D.
- Pediatrics Physician
- Munster, IN
National Provider Identifier
1992743637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01028626A
- Practice address
- 7905 Calumet Ave
Franciscan Hammond Clinic LLC
Munster, IN 46321-1215 - Phone
- (219) 836-7214
- Fax
- (219) 365-9037
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01028626A | IN | Primary |
Addresses
Primary practice location
7905 Calumet Ave
Franciscan Hammond Clinic LLC
Munster, IN 46321-1215
Mailing address
7905 Calumet Ave
Franciscan Hammond Clinic LLC
Munster, IN 46321-1215
Phone (219) 836-7214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100258410A | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01028626A | IN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1992743637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7905 CALUMET AVE",
"address_2": "FRANCISCAN HAMMOND CLINIC LLC",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211215",
"telephone_number": "219-836-7214",
"fax_number": "219-365-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 CALUMET AVE",
"address_2": "FRANCISCAN HAMMOND CLINIC LLC",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211215",
"telephone_number": "219-836-7214",
"fax_number": "219-365-9037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNE",
"first_name": "MARK",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01028626A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100258410A",
"state": "IN"
}
],
"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 Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.