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OCCU-MED PC
NPI 1295037232
Internal Medicine in Whiting, IN

Active since November 24, 2010CLIA 15D2025326 · Waiver
2230 INDIANAPOLIS BLVD, WHITING, IN 46394(219) 659-0333(219) 659-0336 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Occu-med Pc NPPES

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

OCCU-MED PC (NPI 1295037232) is a healthcare organization registered as an internal medicine in Whiting, Indiana and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Nidal Hasan, President, as its authorized official.

NPPES Registry Identity

NPI1295037232
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOCCU-MED PC
Location Address2230 INDIANAPOLIS BLVDWhiting, IN 46394-1956
Mailing AddressPo Box 699Worth, IL 60482-0699 · (219) 659-0333 · Fax (219) 659-0336
Phone(219) 659-0333
Fax(219) 659-0336
Organization SubpartNo
Authorized OfficialNidal HasanPresident · (219) 659-0333
Enumeration DateNovember 24, 2010
Last NPPES UpdateOctober 14, 2015
✔ NPI 1295037232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2230 INDIANAPOLIS BLVD, Whiting, IN 46394
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Occu-med Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Occu-Med PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Shyam Patel, D.O.
Family Practice
NPI 1871974709
2230 INDIANAPOLIS BLVD
Whiting, IN 46394
(219) 659-0333
✔ PECOS✔ Accepts Medicare0.1 mi
Melissa Vega Montes, APRN
Nurse Practitioner
NPI 1760246839
2230 INDIANAPOLIS BLVD
Whiting, IN 46394
(219) 659-0333
✔ PECOS✔ Accepts Medicare0.1 mi
Vijay Patel, M.D.
General Surgery
NPI 1326097585
2315 E 93RD ST SUITE 340
Chicago, IL 60617
(773) 721-0322
✔ PECOS5.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2025326

Occu-Med PC · Whiting, IN
Active · expires Jun 6, 2027
CLIA Number15D2025326
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorNidal Hasan
Laboratory Phone(219) 659-0333
Laboratory LocationOccu-Med PC2230 Indianapolis Blvd, Whiting, IN 46394
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Occu-Med PC's NPI number?

The NPI number for Occu-Med PC is 1295037232. It was assigned to this organization in the NPPES registry on November 24, 2010.

Where is Occu-Med PC located?

Occu-Med PC is located at 2230 Indianapolis Blvd, Whiting, IN 46394. The listed phone number is (219) 659-0333.

What is Occu-Med PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Occu-Med PC enrolled in Medicare?

Yes. Occu-Med PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Occu-Med PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Occu-Med PC, in Family Practice, General Surgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Occu-Med PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2025326) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Occu-Med PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Occu-Med PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Occu-Med PC was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.