DR. MAYA KOMMINENI (NPI# 1578721379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578721379 |
| Entity Type | Individual |
| Full Name | DR. MAYA KOMMINENI |
| Credential | MD |
| Practice Address |
85 E Us Highway 6 Ste 300 Valparaiso IN 46383 |
| Mailing Address |
2022 Kelle Dr Chesterton IN 46304-8708 |
| Practice Telephone | 2199836300 |
| Practice Fax Number | 2199836080 |
| Mailing Telephone | 2193643616 |
| Mailing Fax Number | 2193643610 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 233477 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01075747A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2014-01557 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE RR | P01373172 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3630 Willowcreek Rd Ste 1, Portage, IN 463685075 | 2193643062 | 2193643229 |
| 2000 Roosevelt Rd Ste 205, Valparaiso, IN 463832802 | 2192637600 | 2192637659 |
| Street Address |
85 E US HIGHWAY 6 STE 300 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939885 | Raghuram Dasari | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-18 |
| 1457619702 | Fahd Abdullah Kader Syed | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2012-04-24 |
| 1225306830 | Elizabeth Sobczak | Nurse Practitioner | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2011-12-09 |
| 1518255124 | Anshuman Das | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2011-07-17 |
| 1134450737 | Jay Shah | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2010-01-21 |
| 1538181359 | Hector Juan Marchand Sr. | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-24 |
| 1326066218 | Sandeep Sehgal | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-18 |
| 1629096029 | Daniel Paul Linert | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-17 |
| 1912980236 | Mark Dixon | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336160753 | Keith Atassi | Internal Medicine | 3800 Saint Mary Rd Ste 202, Valparaiso, IN 46383-3986 | 2006-07-21 |
| 1457619702 | Fahd Abdullah Kader Syed | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2012-04-24 |
| 1164598504 | Akram Kholoki | Internal Medicine | 3800 Saint Mary Rd Ste 202, Valparaiso, IN 46383-3986 | 2006-11-28 |
| 1487676904 | Michael Lee Wheat | Internal Medicine | 2000 Roosevelt Rd, Valparaiso, IN 46383-2800 | 2006-07-24 |
| 1538181359 | Hector Juan Marchand Sr. | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-24 |
| 1427070267 | Maturu Satya Rao | Internal Medicine | 2000 Roosevelt Rd, Valparaiso, IN 46383-2800 | 2006-07-24 |
| 1326066218 | Sandeep Sehgal | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-18 |
| 1851318695 | Northwest Indiana Cardiovascular Physicians, P.C. | Internal Medicine | 2000 Roosevelt Rd, Valparaiso, IN 46383-2800 | 2006-07-17 |
| 1629096029 | Daniel Paul Linert | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-17 |
| 1538187976 | John Anthony Forchetti | Internal Medicine | 2000 Roosevelt Rd, Valparaiso, IN 46383-2800 | 2006-07-17 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on DR. MAYA KOMMINENI.
| 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.