Active NPI
Havishakrishna Sarma, DO
- Internal Medicine Physician
- Portage, IN
National Provider Identifier
1992934020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02003960A
- Practice address
- 2640 Hamstrom Rd
Portage, IN 46368-3832 - Phone
- (219) 762-9523
- NPI assigned
- Jul 10, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 02003960A | IN | Primary |
Addresses
Primary practice location
2640 Hamstrom Rd
Portage, IN 46368-3832
Mailing address
2640 Hamstrom Rd
Portage, IN 46368-3832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02003960A | Other | IN | STATE LICENSE |
Other names 1
- Havish Sarma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Broadway
Gary, IN 46407-1310
Phone (219) 882-2305
2640 Hamstrom Rd
Portage, IN 46368-3832
Phone (219) 762-4423
3190 Lancer St
Suite 104
Portage, IN 46368-4489
Phone (219) 292-4501
Hospital & facility affiliations
- Professional Care Home Health Services
- Southerncare South Bend
- St Mary Medical Center Inc
- Methodist Hospitals Inc
- Northwest Health - Porter
- Community Hospital
- Regency Hospital of Northwest Indiana
- Casa of Hobart
- Waters of Hobart Skilled Nursing Facility, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003960A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Care Solutions P.C. | Internal Medicine | Current | Accepting new patients |
| Internal Medicine,Geriatrics and Oncology Group, P.C. | Internal Medicine | Current | Accepting new patients |
Locations
8833 Gross Point Rd
Ste 300
Skokie, IL 60077
Phone (773) 501-2361
1400 Broadway
Gary, IN 46407
Phone (219) 882-2305
2640 Hamstrom Rd
Portage, IN 46368
Phone (219) 359-3364
3190 Lancer St
Ste 104
Portage, IN 46368
Phone (219) 292-4501
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Portage, IN
- NPI 1417983537
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Highland, IN
- NPI 1891747986
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
-
- Long Term Care Hospital
- East Chicago, IN
- NPI 1063414886
Long-term care hospital
-
- Community Based Hospice Care Agency
- Mishawaka, IN
- NPI 1740228832
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1992934020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 HAMSTROM RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463683832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 HAMSTROM RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463683832",
"telephone_number": "219-762-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARMA",
"first_name": "HAVISHAKRISHNA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-10",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02003960A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "02003960A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HAVISH",
"last_name": "SARMA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.