PHORNPHAT RASAMIMARI M.D. MPH NPI 1821075383

NPI Information

NPI: 1821075383
Provider Name: PHORNPHAT RASAMIMARI, M.D., MPH
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
901 MACARTHUR BLVD
NEONATOLOGY DEPARTMENT
MUNSTER, IN
ZIP 46321
Phone: (219) 836-2022
Get Directions

Phornphat Rasamimari, M.D., MPH is a neonatal-perinatal medicine pediatrics in Munster, IN. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Phornphat Rasamimari, M.D., MPH NPI is 1821075383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 MACARTHUR BLVD
NEONATOLOGY DEPARTMENT
MUNSTER, IN
ZIP 46321-901
Phone: (219) 836-2022

The NPI 1821075383 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 12/27/2005 and was last updated on 4/28/2021.

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
1	208000000X	Pediatrics		036-098723	ILLINOIS	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	01060038A	INDIANA	Yes
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	036-098723	ILLINOIS	No
4	208M00000X	Hospitalist		01060038A	INDIANA	No

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
1	000000964820	OTHER	INDIANA	ANTHEM PROVIDER NUMBER
2	M471400271	OTHER	INDIANA	MEDICARE
3	200510260	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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