| Vituity-california Observation Services PC | |
|
901 Macarthur Blvd Munster IN 46321-2901 | |
| (219) 836-1600 | |
| Not Available |
| Full Name | Vituity-california Observation Services PC |
|---|---|
| Speciality | Hospitalist |
| Location | 901 Macarthur Blvd, Munster, Indiana |
| Authorized Official Name and Position | David Birdsall (VICE PRESIDENT) |
| Authorized Official Contact | 5108517552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity-california Observation Services PC 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 350-2600 | Vituity-california Observation Services PC 901 Macarthur Blvd Munster IN 46321-2901 Ph: (219) 836-1600 |
| NPI Number | 1902794266 |
|---|---|
| Provider Enumeration Date | 06/25/2025 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Medicare PECOS PAC ID | 5991178998 |
|---|---|
| Medicare Enrollment ID | O20250731000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902794266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| Provider Name | Marc Crescenzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881678993 PECOS PAC ID: 6709787039 Enrollment ID: I20100814000140 |
| Provider Name | Jennifer Platt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376842682 PECOS PAC ID: 8921232257 Enrollment ID: I20140813001376 |
| Provider Name | Danielle Mcneil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164840252 PECOS PAC ID: 6800163890 Enrollment ID: I20190805003262 |
| Provider Name | Felicia Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942880745 PECOS PAC ID: 2365851714 Enrollment ID: I20210514001192 |
| Provider Name | Marvin Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649943010 PECOS PAC ID: 2961896691 Enrollment ID: I20220223001795 |
| Provider Name | Maher Musleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437717485 PECOS PAC ID: 9931431384 Enrollment ID: I20220906002485 |
| Provider Name | Manmeet Maan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811512080 PECOS PAC ID: 0345665873 Enrollment ID: I20230807000279 |
| Provider Name | Mateusz Dawid Gorecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922620038 PECOS PAC ID: 8729441704 Enrollment ID: I20230823002886 |
| Provider Name | Soumil Lele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972967602 PECOS PAC ID: 0244666873 Enrollment ID: I20231018003411 |
| Provider Name | Mudassar Adeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790366607 PECOS PAC ID: 6305242330 Enrollment ID: I20240809001117 |
| Provider Name | Farhan Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194398594 PECOS PAC ID: 5092256594 Enrollment ID: I20240924004419 |
| Provider Name | Yuliya Krasilnikova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245727346 PECOS PAC ID: 7214277144 Enrollment ID: I20241015000796 |
| Provider Name | Adnan Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588245500 PECOS PAC ID: 5092117408 Enrollment ID: I20250508000732 |
| Provider Name | Aqsa Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235872623 PECOS PAC ID: 1456868033 Enrollment ID: I20250729001116 |
| Provider Name | Petro Shafranyuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669114773 PECOS PAC ID: 1254712680 Enrollment ID: I20250811002642 |
| Provider Name | Emily Sheldon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598325631 PECOS PAC ID: 0042546145 Enrollment ID: I20250910003222 |
| Provider Name | Mohammed Saif Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275917957 PECOS PAC ID: 0648569558 Enrollment ID: I20260127002975 |
| Provider Name | Alma Hajar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467181685 PECOS PAC ID: 2264909720 Enrollment ID: I20260422001805 |
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