LAKESHORE CARDIOVASCULAR INSTITUTE LLC – NPI #1396251468
Internal Medicine

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.

LAKESHORE CARDIOVASCULAR INSTITUTE LLC is a provider located in MICHIGAN CITY, IN. NPPES has assigned the NPI number 1396251468 to LAKESHORE CARDIOVASCULAR INSTITUTE LLC on December 27, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 7 years ago on May 06, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESHORE CARDIOVASCULAR INSTITUTE LLC below.

NPI Profile for
LAKESHORE CARDIOVASCULAR INSTITUTE LLC

NPI Number
1396251468
Enumeration Date

(more than 8 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
LAKESHORE CARDIOVASCULAR INSTITUTE LLC
Primary location
8733 W 400 N
MICHIGAN CITY, IN 46360
Phone: (219) 879-0333 Fax: (219) 879-0325
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAMMI DALI
PRESIDENT
Phone: (219) 878-3217
Updated
Identifiers

Identifiers for LAKESHORE CARDIOVASCULAR INSTITUTE LLC

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
MEDICAIDIN200439020
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
207RI0011X
- Internal Medicine / Interventional Cardiology

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.