ASAD ANSARI


Address: 100 Navarre Pl, Suite 5550, South Bend, IN 46601-1156
Phone: 5746472550

ASAD ANSARI (NPI# 1053387175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053387175
Entity Type Individual
Full Name ASAD ANSARI
Credential MD
Practice Address 100 Navarre Pl
Suite 5550
South Bend
IN 46601-1156
Mailing Address 710 N Niles Ave
South Bend
IN 46617-1924
Practice Telephone 5746472550
Mailing Telephone 5746471610
Mailing Fax Number 5742376069
Enumeration Date 2006-02-28
Last Update Date 2018-02-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0208X Pediatrics
Specialization: Pediatric Infectious Diseases
01065535A IN Allopathic & Osteopathic Physicians
Y 2080P0214X Pediatrics
Specialization: Pediatric Pulmonology
01065535A IN Allopathic & Osteopathic Physicians
N 2080S0012X Pediatrics
Specialization: Sleep Medicine
01065535A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200928890 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 Navarre Pl, Suite 5550, South Bend, IN 466011156 5746472550

Office Location

Street Address 100 NAVARRE PL
SUITE 5550
City SOUTH BEND
State IN
Zip Code 46601-1156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184629891 Sharon K Klingerman Nurse Practitioner 100 Navarre Pl, Ste 5550, South Bend, IN 46601-1169 2005-06-17
1699215582 Kaytlyn K Caffery Physician Assistant 100 Navarre Pl, Suite 4470, South Bend, IN 46601-1156 2017-02-27
1063841252 Julie Horsting Genetic Counselor, MS 100 Navarre Pl, Suite 4410, South Bend, IN 46601-1156 2013-11-07
1831522465 Andrea J. Karweck Psychologist 100 Navarre Pl, Suite 5550, South Bend, IN 46601-1156 2013-08-19
1841623188 Elizabeth Lynn Younker Audiologist 100 Navarre Pl, Suite 4430, South Bend, IN 46601-1156 2013-08-09
1356690150 Ashley Carpenter Physical Therapist 100 Navarre Pl, Suite 6650, South Bend, IN 46601-1156 2012-09-07
1932488665 Abhishek Das Physical Medicine & Rehabilitation 100 Navarre Pl, Suite 660, South Bend, IN 46601-1156 2011-08-11
1508163999 Melissa Christine Quimby Nurse Practitioner 100 Navarre Pl, Suite 5550, South Bend, IN 46601-1156 2011-02-21
1457658130 Crystal S Beneker Nurse Practitioner 100 Navarre Pl, Suite 6600, South Bend, IN 46601-1156 2011-02-16
1437454808 Sally Elizabeth Hull Nurse Practitioner 100 Navarre Pl, Suite 6600, South Bend, IN 46601-1156 2011-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447610449 David Thomas Hearing Instrument Specialist 808 S Michigan St., South Bend, IN 46601 2016-03-03
1285072454 Kevin Francis Cumper Internal Medicine 621 Memorial Dr Ste 624, South Bend, IN 46601 2013-06-11
1952605560 Robert Lusk Bonham Dentist 1222 L.w.e., So. Bend, IN 46601 2010-12-23
1649580911 Daniel Scott Debrule Psychologist 211 W. Washington Street, Suite 2311, South Bend, IN 46601 2010-10-20
1528390770 Luke Alfred White Internal Medicine 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 2010-02-12
1548497837 Tmg Home Health Care Home Health 108 N Main St #305, South Bend, IN 46601 2009-06-15
1225283039 Jody L. Hughes Counselor 202 S. Michigan Street, Suite 875, South Bend, IN 46601 2008-11-20
1740432574 Amanda Jayne Quicksall Social Worker 611 Lincolnway W, South Bend, IN 46601 2008-10-10
1952565772 Thomas P Judd Dentist 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 2008-07-10
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
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Taxonomy Information

Taxonomy Code 2080P0214X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Pulmonology

Taxonomy Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932126968 James F Chmiel Pediatrics 705 Riley Hospital Dr # 4270, Indianapolis, IN 46202-5109 2006-07-16
1336556943 Sandeep Puranik Pediatrics 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 2014-07-15
1578901401 Kristen Noel Ameel Pediatrics 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 2013-06-13
1992142004 Heather Nicole Muston Pediatrics 705 Riley Hospital Dr # 4270, Indianapolis, IN 46202-5109 2013-05-30
1134431489 Anuja Bandyopadhyay Pediatrics 705 Riley Hospital Drive, Roc 4270, Indianapolis, IN 46202 2010-07-01
1295054542 Angela O. Delecaris Pediatrics 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 2010-05-26
1871755884 Evans Miruka Machogu Pediatrics 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 2008-06-30
1477724862 Aura Ioana Cristea Pediatrics 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 2008-03-13
1356535017 Harish Sulibele Raghavendra Rao Pediatrics 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 2007-09-05
1902016967 Nadia Lynn Krupp Pediatrics 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 2007-05-22
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Competitor

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City SOUTH BEND
Zip Code 46601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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