Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHIANA HEMATOLOGY-ONCOLOGY P C
NPI 1487793873
Internal Medicine - Hematology & Oncology in Plymouth, IN

Active since February 05, 2007CLIA 15D2281985 · Waiver
2855 MILLER DR STE 119, PLYMOUTH, IN 46563(574) 936-2585(574) 936-3887 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michiana Hematology-oncology P C NPPES

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

MICHIANA HEMATOLOGY-ONCOLOGY P C (NPI 1487793873) is a healthcare organization registered as a hematology & oncology in Plymouth, Indiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Bilal Ansari, President, as its authorized official.

NPPES Registry Identity

NPI1487793873
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMICHIANA HEMATOLOGY-ONCOLOGY P C
Location Address2855 MILLER DR STE 119Plymouth, IN 46563-8091
Mailing AddressPo Box 746092Atlanta, GA 30374-6092 · (574) 334-5400 · Fax (574) 968-9442
Fax(574) 936-3887
Organization SubpartNo
Authorized OfficialBilal AnsariPresident · (574) 261-0794
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1487793873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2855 MILLER DR STE 119, Plymouth, IN 46563

Other Identifiers 2

Medicaid100389430IN
Other1176700001IN · Nsc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 15D2281985

Michiana Hematology Oncology, PC · Plymouth, IN
Active · expires May 15, 2027
CLIA Number15D2281985
Laboratory TypeHospital
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorDr. Rashid Z. Khan
Laboratory Phone(574) 936-2585
Laboratory LocationMichiana Hematology Oncology, PC1915 Lake Avenue, Plymouth, IN 46563
CLIA data matches this NPI record on: 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 Michiana Hematology-Oncology P C's NPI number?

The NPI number for Michiana Hematology-Oncology P C is 1487793873. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Michiana Hematology-Oncology P C located?

Michiana Hematology-Oncology P C is located at 2855 Miller Dr Ste 119, Plymouth, IN 46563. The listed phone number is (574) 936-2585.

What is Michiana Hematology-Oncology P C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Michiana Hematology-Oncology P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2281985) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michiana Hematology-Oncology P C was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.