Unknown Individual – Hematology & Oncology Physician, NPI 1275501363

Unknown Individual is a healthcare provider. based in Munster, Indiana. specializing in Hematology & Oncology Physician. They hold a License No. 01052677A (IN). The NPI Number for Unknown Individual is 1275501363

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275501363
Phone
(219) 924-3232
Address
1630 45TH AVE
Deactivation Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2193907958
Graduation Year
1993 (33 years ago)
PAC ID
5395712467
Group Practice PAC ID
2668652710
Professional Enrollment ID
I20040917000759

Contacts

Secure Messaging
balagopal.keralavarma@ccc.direct-geniusdoc.com
Secure Messaging
bkeralavarma64163@Direct.FranciscanAlliance.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1630 45TH AVE

    MUNSTER, IN 463213963

    Phone: (219) 924-3232

    Fax: (219) 757-5629

    Type: Location

  • 8554 BROADWAY

    MERRILLVILLE, IN 464107032

    Phone: (219) 750-9581

    Fax: (219) 750-9781

    Type: Location

  • 8554 Broadway

    Merrillville, IN 464107032

    Phone: (219) 750-9581

    Fax: (219) 750-9781

    Type: Location

  • 1205 S Main St Ste 101

    Crown Point, IN 463073677

    Phone: (219) 769-8340

    Fax: (219) 769-8341

    Type: Location

  • 8127, Merrillville Road, Southmoor Park, Merrillville, Lake County, Indiana, 46410, United States

    MERRILLVILLE, IN 464106158

    Phone: (219) 924-3232

    Fax: (219) 757-5629

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 206 Open Payments records for all available years, with a total value of $5,016.

Total Amount is formed as General ($5,016) + Research ($0) + Ownership ($0) = $5,016.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($560).

Total Amount

$5,016

General + Research + Ownership

Payments

206

Total payment records

General Amount

$5,016

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)36,72032$0
J0185Injection, aprepitant, 1 mg5,46012$0
J0897Injection, denosumab, 1 mg3,36012$0
J1100Injection, dexamethasone sodium phosphate, 1 mg2,17426$0
36415Insertion of needle into vein for collection of blood sample1,288279$0
View full utilization report →

Insurance plans in this area (ZIP 46321)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Hematology & Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGYIN85610Blood test, clotting time21627
HEMATOLOGYIN96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention29137
HEMATOLOGYIN96415Infusion of chemotherapy into a vein36229

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668652710View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineIN
Nurse PractitionerMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1275501363; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Munster, Indiana because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

HOWARD MORRIS MISHOULAM (M.D.)

Hematology & Oncology Physician
9201, Calumet Avenue, Munster, Lake County, Indiana, 46321, United States
NPI: 1306823893

DR. GHASSAN M JANO (M.D.)

Hematology & Oncology Physician
East 89th Avenue, Merrillville, Lake County, Indiana, 46307, United States
NPI: 1831176874

DR. NISHEETH GUPTA (M.D.)

Hematology & Oncology Physician
East 89th Avenue, Merrillville, Lake County, Indiana, 46307, United States
NPI: 1891772778

DR. MOHAMMED Y ALI (M.D.)

Hematology & Oncology Physician
342, East 109th Avenue, Crown Point, Lake County, Indiana, 46307, United States
NPI: 1386612448

MONROE MEDICAL ASSOCIATES, SC

Hematology & Oncology Physician
801, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
NPI: 1093752610

DR. ROWLAND O. MBAOMA (M.D.)

Hematology & Oncology Physician
757 45TH AVE
NPI: 1174562151

MONROE MEDICAL ASSOCIATES, SC

Hematology & Oncology Physician
801, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
NPI: 1447291547

MONROE MEDICAL ASSOCIATES, SC

Hematology & Oncology Physician
801, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
NPI: 1386686145

MONROE MEDICAL ASSOCIATES, SC

Hematology & Oncology Physician
801, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
NPI: 1588607923