PHORNPHAT RASAMIMARI M.D., MPH
NPI 1821075383
Pediatrics - Neonatal-Perinatal Medicine in Munster, IN

Active since December 27, 2005PECOS Enrolled
901 MACARTHUR BLVD, NEONATOLOGY DEPARTMENT, MUNSTER, IN 46321(219) 836-2022 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 28, 2021, Sep 14, 2020 (2 updates tracked since 2020).

About Phornphat Rasamimari M.d., Mph NPPES

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

PHORNPHAT RASAMIMARI M.D., MPH (NPI 1821075383) is an individual neonatal-perinatal medicine provider in Munster, Indiana, licensed in Indiana (01060038A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821075383
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NamePHORNPHAT RASAMIMARICredential: M.D., MPH
Location Address901 MACARTHUR BLVD, NEONATOLOGY DEPARTMENTMunster, IN 46321-2901
Mailing Address9201 Calumet AveMunster, IN 46321-2807 · (219) 836-2022 · Fax (219) 836-0034
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1821075383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in IN · 01060038A✔ Licensed in IL · 036-098723
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 036-098723 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 01060038A (IN)
901 MACARTHUR BLVD, Munster, IN 46321

Other Identifiers 3

Other000000964820IN · Anthem Provider Number
OtherM471400271IN · Medicare
Medicaid200510260IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phornphat Rasamimari M.d., Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Phornphat Rasamimari reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
1645 COTTAGE GROVE AVE
Ford Heights, IL 60411
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
8131 S MAY ST
Chicago, IL 60620
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
Emergency Medicine
2701 W 68TH ST
Chicago, IL 60629
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
Clinical Medical Laboratory
2600 GREENBUSH ST
Lafayette, IN 47904
  • Reassigned Medicare billing, Indiana enrollment
  • 671 clinicians in this Medicare group
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group

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

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.

Psychiatry & Neurology (Neurocritical Care)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
General Acute Care Hospital
901 MACARTHUR BLVD
MUNSTER, IN 46321
Nurse Anesthetist, Certified Registered
901 MACARTHUR BLVD, ATTN ANESTHESIA
MUNSTER, IN 46321
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Psychiatry & Neurology (Vascular Neurology)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
901 MACARTHUR BLVD, ATTN: PHARMACY DEPARTMENT
MUNSTER, IN 46321

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 Phornphat Rasamimari's NPI number?

The NPI number for Phornphat Rasamimari is 1821075383. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Phornphat Rasamimari located?

Phornphat Rasamimari practices at 901 Macarthur Blvd Neonatology Department, Munster, IN 46321. The listed phone number is (219) 836-2022.

What is Phornphat Rasamimari's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Phornphat Rasamimari enrolled in Medicare?

Yes. Phornphat Rasamimari is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Phornphat Rasamimari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phornphat Rasamimari reassigns Medicare benefits to 6 organizations: Cook County (Ford Heights, IL), The Board Of Trustees Of The University Of Illinois (Chicago, IL), Mount Sinai Community Foundation (Chicago, IL), Franciscan Physician Network (Mishawaka, IN), Arnett Clinic, LLC (Lafayette, IN) and 1 more organization, listed in the Medicare section above. Each 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 Phornphat Rasamimari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phornphat Rasamimari accept?

Health plans from CareSource and Cigna Healthcare list Phornphat Rasamimari 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 Phornphat Rasamimari was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.