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
Provider Name :Asad Ansari
Credential :MD
Gender :Male
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
Phone Number :574-647-2550
Fax Number :574-647-1129
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
NPI Entity Type : Individual
First Enrolment Date : 28 Feb, 2006
Last Updated On : 04 May, 2023
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
Medicare Enrollment ID :I20090305000662
Primary Specialty :Pediatric Medicine
Medical School :Other
Graduation Year :1994
Accepts Medicare?Yes. Asad Ansari accepts medicare insurance.
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Beacon Medical Group Inc1254243306450615 N Michigan St Fl
South Bend, IN - 466011033
Yes
Beacon Medical Group Inc1254243306450615 N Michigan St
Fl 5
South Bend, IN - 466011033
Ph: 5746477275
Yes
Beacon Medical Group Inc1254243306450100 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 SpecialityPrimaryLicense No.State
2080P0208XPediatrics, Pediatric Infectious DiseasesNo01065535AIN
2080P0214XPediatrics, Pediatric PulmonologyNo4301506067MI
2080S0012XPediatrics, Sleep MedicineNo4301506067MI
2080S0012XPediatrics, Sleep MedicineNo01065535AIN
2080P0214XPediatrics, Pediatric PulmonologyYes01065535AIN
Legacy Identifiers:
Other legacy medical identifiers of Asad Ansari such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
1053387175MEDICAIDMI
200928890MEDICAIDIN
Other Practice Locations:
Practice AddressCity, StatePhone Number
100 NAVARRE PL STE 5570,
SOUTH BEND, IN, 46601-1169
United States
SOUTH BEND, IN574-647-8610
621 MEMORIAL DR STE 624,
SOUTH BEND, IN, 46601-1063
United States
SOUTH BEND, IN574-647-8177
701 S. HEALTH PKWY,
THREE RIVERS, MI, 49093-8352
United States
THREE RIVERS, MI269-278-1145
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 TypeEndpointAffiliationUseContentAddress
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
Phone Number :574-647-1840
Fax Number :574-237-6069
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.