D KATSOROS MD – NPI #1386771012
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

D KATSOROS MD is a specialist located in MERRILLVILLE, IN. NPPES has assigned the NPI number 1386771012 to D KATSOROS MD on February 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “D KATSOROS MD” is a dba name, the actual legal business name for this organization is MULTICARE PHYSICIAN CENTER PC. The primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

The NPI profile was previously updated about 7 years ago on May 29, 2019. See the complete NPI profile for D KATSOROS MD below.

NPI Profile for
MULTICARE PHYSICIAN CENTER PC

NPI Number
1386771012
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MULTICARE PHYSICIAN CENTER PC
Doing Business As (dba): D KATSOROS MD
Primary location
7863 BROADWAY
STE 135
MERRILLVILLE, IN 46410
Phone: (219) 736-2047 Fax: (219) 736-2048
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ADAM MLYNARCIK
VICE PRESIDENT
Phone: (219) 712-6130
Updated
Identifiers

Identifiers for D KATSOROS MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDIN000000080178
MEDICAIDIN200195840B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
174400000X
- Specialist (Primary)
IN 01049411

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.