PREMIER SURGICAL SPECIALISTS PC
NPI 1588077242
Surgery in Munster, IN

Active since June 10, 2014
9050 COLUMBIA AVE, PREMIER SURGICAL SPECIALISTS PC, MUNSTER, IN 46321(219) 836-9800(219) 836-9300 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Premier Surgical Specialists Pc NPPES

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

PREMIER SURGICAL SPECIALISTS PC (NPI 1588077242) is a healthcare organization registered as a surgery in Munster, Indiana and active in the NPI registry since June 2014. The organization lists Samar B Shabeeb, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1588077242
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePREMIER SURGICAL SPECIALISTS PC
Location Address9050 COLUMBIA AVE, PREMIER SURGICAL SPECIALISTS PCMunster, IN 46321-2905
Mailing Address9050 Columbia Ave, Premier Surgical Specialists PcMunster, IN 46321-2905 · (219) 836-9800 · Fax (219) 836-9300
Fax(219) 836-9300
Organization SubpartNo
Authorized OfficialSamar B ShabeebOffice Manager · (219) 836-9800
Enumeration DateJune 10, 2014
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1588077242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9050 COLUMBIA AVE, Munster, IN 46321

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 SINGLE SPECIALTY GROUP

Accepted 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)

Premier Surgical Specialists 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 Premier Surgical Specialists PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

General Surgery
NPI 1548765241
9050 COLUMBIA AVE
Munster, IN 46321
(219) 836-9800
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1770532699
9050 COLUMBIA AVE
Munster, IN 46321
(219) 836-9800
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1700912409
4440 W 95TH ST STE 183
Oak Lawn, IL 60453
(708) 684-4393
✔ PECOS✔ Accepts Medicare17 mi

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

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 Premier Surgical Specialists PC's NPI number?

The NPI number for Premier Surgical Specialists PC is 1588077242. It was assigned to this organization in the NPPES registry on June 10, 2014.

Where is Premier Surgical Specialists PC located?

Premier Surgical Specialists PC is located at 9050 Columbia Ave Premier Surgical Specialists PC, Munster, IN 46321. The listed phone number is (219) 836-9800.

What is Premier Surgical Specialists PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Premier Surgical Specialists PC enrolled in Medicare?

Yes. Premier Surgical Specialists PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Surgical Specialists PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in General Surgery, reassign their Medicare billing to Premier Surgical Specialists PC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Surgical Specialists PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Premier Surgical Specialists 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 Premier Surgical Specialists PC was last updated on January 15, 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.