Asad Ansari
MD | Pediatric Pulmonology | Male
Asad Ansari, MD is a South Bend, Indiana based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Asad Ansari is
100 Navarre Pl Ste 5550, South Bend, Indiana - 46601-1169. He can be contacted on phone at
574-647-2550 and fax number 574-647-1129.
Asad Ansari is a sole proprietor of his business.
NPI number (Unique professional ID) for Asad Ansari is
1053387175 which was assigned by NPPES on 28 Feb, 2006 and it was last updated on 04 May, 2023.
Asad Ansari license number is
01065535A for Pediatrics, Pediatric Pulmonology (2080P0214X) in Indiana.
Asad Ansari is 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.
Complete Profile:
Asad Ansari basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Pulmonology |
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| Provider Name : | Asad Ansari |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Asad Ansari address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 Navarre Pl Ste 5550
South Bend, IN, 46601-1169
United States |
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| Phone Number : | 574-647-2550 |
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| Fax Number : | 574-647-1129 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053387175 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Feb, 2006 |
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| Last Updated On : | 04 May, 2023 |
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Medicare Participation:
Asad Ansari participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0143275156 |
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| Medicare Enrollment ID : | I20090305000662 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1994 |
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| Accepts Medicare? | Yes. Asad Ansari accepts medicare insurance. |
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Group Practice Association:
Asad Ansari is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Asad Ansari is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Beacon Medical Group Inc | 1254243306 | 450 | 615 N Michigan St Fl
South Bend, IN - 466011033 | Yes |
| Beacon Medical Group Inc | 1254243306 | 450 | 615 N Michigan St
Fl 5
South Bend, IN - 466011033
Ph: 5746477275 | Yes |
| Beacon Medical Group Inc | 1254243306 | 450 | 100 Navarre Pl
South Bend, IN - 466011169 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Asad Ansari are as mentioned. Primary taxonomy code for Asad Ansari, MD is
2080P0214X (Pediatrics, Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | No | 01065535A | IN |
| 2080P0214X | Pediatrics, Pediatric Pulmonology | No | 4301506067 | MI |
| 2080S0012X | Pediatrics, Sleep Medicine | No | 4301506067 | MI |
| 2080S0012X | Pediatrics, Sleep Medicine | No | 01065535A | IN |
| 2080P0214X | Pediatrics, Pediatric Pulmonology | Yes | 01065535A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Asad Ansari such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1053387175 | MEDICAID | MI | |
| 200928890 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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100 NAVARRE PL STE 5570,
SOUTH BEND, IN, 46601-1169
United States | SOUTH BEND, IN | 574-647-8610 |
621 MEMORIAL DR STE 624,
SOUTH BEND, IN, 46601-1063
United States | SOUTH BEND, IN | 574-647-8177 |
701 S. HEALTH PKWY,
THREE RIVERS, MI, 49093-8352
United States | THREE RIVERS, MI | 269-278-1145 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | ANSARI@mybeacon.cernerdirect.com
| No affiliation |
|
| 100 Navarre Pl Ste 5550,
South Bend, IN, 46601-1169
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3245 Health Dr Ste 100
Granger, IN, 46530-1380
United States |
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| Phone Number : | 574-647-1840 |
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| Fax Number : | 574-237-6069 |
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Business Location:
Patients can refer following map for directions to
Asad Ansari practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.