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DR. ASHISH PREMKUMAR MD
NPI 1215279344
Obstetrics & Gynecology - Maternal & Fetal Medicine in Munster, IN

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
901 MACARTHUR BLVD, MUNSTER, IN 46321(773) 702-5200(773) 702-5160 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2023, Apr 28, 2021, Oct 24, 2018 (3 updates tracked since 2018).

About Dr. Ashish Premkumar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ASHISH PREMKUMAR MD (NPI 1215279344) is an individual maternal & fetal medicine provider in Munster, Indiana, licensed in Indiana (01089899A) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Boston University School Of Medicine (2013).

NPPES Registry Identity

NPI1215279344
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. ASHISH PREMKUMARCredential: MD
Location Address901 MACARTHUR BLVDMunster, IN 46321-2901
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Phone(773) 702-5200
Fax(773) 702-5160
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1215279344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in IN · 01089899A
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 036142648 (IL), 133048 (CA)
901 MACARTHUR BLVD, Munster, IN 46321
Open in Google Maps ↗

Other Identifiers 1

Medicaid300019070IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ashish Premkumar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800189366
PECOS Enrollment IDI20180912003496, I20230706003786
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARRUKH SALIM CHAUDHRY MD
Psychiatry & Neurology (Neurocritical Care)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
DR. ALEKSANDAR GORESKI M.D.
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1443
DR. AVRAM ESTES M.D.
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
MUNSTER MEDICAL RESEARCH FOUNDATION INC
General Acute Care Hospital
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
RICHARD HENRY LADAGA CRNA
Nurse Anesthetist, Certified Registered
901 MACARTHUR BLVD, ATTN ANESTHESIA
MUNSTER, IN 46321
Lake County (219) 836-7040
SUNNY PATEL MD
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1443
ESTEBAN E GOLOMBIEVSKI MD
Psychiatry & Neurology (Vascular Neurology)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1991
ZACHARY ROSENFELDT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
901 MACARTHUR BLVD, ATTN: PHARMACY DEPARTMENT
MUNSTER, IN 46321
Lake County (219) 703-4048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashish Premkumar's NPI number?

The NPI number for Ashish Premkumar is 1215279344. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Ashish Premkumar located?

Ashish Premkumar practices at 901 Macarthur Blvd, Munster, IN 46321. The listed phone number is (773) 702-5200.

What is Ashish Premkumar's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Ashish Premkumar enrolled in Medicare?

Yes. Ashish Premkumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ashish Premkumar affiliated with any hospitals?

According to CMS data, Ashish Premkumar is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Ashish Premkumar was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.