Unknown Individual – Surgery Physician, NPI 1447263173
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6111, Harrison Street, Merrillville, Lake County, Indiana, 46410, United States
#252
MERRILLVILLE, IN 46410
Phone: (219) 980-1348
Fax: (219) 980-1151
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Smith+Nephew, Inc. ($119).
Total Amount
$200
General + Research + Ownership
Payments
3
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $119 |
| Kerecis Limited | $82 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46410)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | IN | 11042 | Removal of skin and tissue first 20 sq cm or less | 328 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| N E U R O L O G Y | AR | |
| General Surgery | IL | |
| - | IN | |
| Internal Medicine, Pulmonary Disease | IN |
Reviews
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