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DR. MICHAEL J. BOMMARITO M.D. NPI 1235150939


NPI Information

NPI: 1235150939
Provider Name: DR. MICHAEL J. BOMMARITO, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
7905 CALUMET AVE
HAMMOND CLINIC LLC
MUNSTER, IN
ZIP 46321
Phone: (219) 836-5800
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DR. Michael J. Bommarito, M.D. is a critical care medicine internal medicine in Munster, IN with 30 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Michael J. Bommarito, M.D. NPI is 1235150939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1994

The provider's business location address is:

7905 CALUMET AVE
HAMMOND CLINIC LLC
MUNSTER, IN
ZIP 46321-215
Phone: (219) 836-5800
Fax: (219) 836-8073

The NPI 1235150939 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease01062187AINDIANANo
2207RS0012XInternal MedicineSleep Medicine01062187INDIANANo
3207RC0200XInternal MedicineCritical Care Medicine036108719ILLINOISNo
4207RP1001XInternal MedicinePulmonary Disease036108719ILLINOISNo
5207RS0012XInternal MedicineSleep Medicine036108719ILLINOISNo
6207RC0200XInternal MedicineCritical Care Medicine01062187INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H04452MEDICARE UPININDIANA
2200832730MEDICAIDINDIANA
3473060V6MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.