LAKESHORE CARDIOVASCULAR INSTITUTE LLC
NPI 1396251468
Internal Medicine - Cardiovascular Disease in Michigan City, IN

NPI Status: Active since December 27, 2017

Contact Information

8733 W 400 N
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 879-0333
Fax: (219) 879-0325

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance

About LAKESHORE CARDIOVASCULAR INSTITUTE LLC

This page provides the complete NPI Profile along with additional information for Lakeshore Cardiovascular Institute Llc, an internist established in Michigan City, Indiana operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1396251468 assigned on December 2017. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sammi M Dali Md (President)

NPI
1396251468
Provider Name
LAKESHORE CARDIOVASCULAR INSTITUTE LLC
Entity Type
Organization
Location Address
8733 W 400 N MICHIGAN CITY, IN 46360
Location Phone
(219) 879-0333
Location Fax
(219) 879-0325
Mailing Address
8733 W 400 N MICHIGAN CITY, IN 46360
Mailing Phone
(219) 878-3217
Mailing Fax
(219) 879-0325
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2017
Last Update Date
05-06-2019
Code Navigator

An internist like Lakeshore Cardiovascular Institute Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SAMMI M DALI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(219) 878-3217

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200439020MEDICAID (05)IN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396251468
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186452412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 4 + 5 + 2 + 4 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1396251468 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881749604MARYANN T. FUMO PC
Organization
Internal Medicine8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0333
1811260680DUNELAND INTERNAL MEDICINE LLC
Organization
Clinic/Center (Primary Care)8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0330
1013264845SLEEP HEALTH CENTER, INC
Organization
Clinic/Center (Sleep Disorder Diagnostic)8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0333
1033531686CENTERS FOR PAIN CONTROL INC.
Organization
Pain Medicine (Pain Medicine)8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 476-7246
1841373024MINESH PATEL, P.C.
Organization
Internal Medicine8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0330
1619064672 MICHAEL FANG M.D.
Individual
Internal Medicine8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 803-4145
1528527041COMPASS LIFE INDIANA LLC
Organization
Internal Medicine8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 363-7904
1871676064MAURICE NDUKWU PC
Organization
Internal Medicine (Pulmonary Disease)8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0333
1033557830 HARDEEP S MINHAS D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 315-4458
1922517077NWI FOOT AND ANKLE CLINIC
Organization
Podiatrist8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 315-4458
1013684752 KACI BAUSKE
Individual
Nurse Practitioner (Family)8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 831-8740
1255610697BIKASHAGARWAL INC.
Organization
Internal Medicine8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 861-8740
1790713733 JAMES C PICKFORD MD
Individual
Internal Medicine8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 861-8740
1093700825 BIKASH AGARWAL MD
Individual
Internal Medicine8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0333
1477095156 TRACY LEN NOVAK AGACNP
Individual
Nurse Practitioner (Family)8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0333
1841261005 MINESH B PATEL M.D.
Individual
Internal Medicine8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0333
1417781360 JENNIFER LEE FABROWICZ FNP-C
Individual
Nurse Practitioner (Family)8733 W 400 N
MICHIGAN CITY, IN 46360
(219) 879-0333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396251468, enumerated in the NPI registry as an "organization" on December 27, 2017

The provider is located at 8733 W 400 N Michigan City, In 46360 and the phone number is (219) 879-0333

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 27, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.