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DR. JASON MICHAEL PETRUNGARO M.D.
NPI 1871765057
Surgery - Plastic and Reconstructive Surgery in Munster, IN

Active since March 28, 2008
800 MACARTHUR BLVD, SUITE 21, MUNSTER, IN 46321(219) 836-1163(844) 270-6677 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Michael Petrungaro M.d. NPPES

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

DR. JASON MICHAEL PETRUNGARO M.D. (NPI 1871765057) is an individual plastic and reconstructive surgery provider in Munster, Indiana, licensed in Indiana (01074460A) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1871765057
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JASON MICHAEL PETRUNGAROCredential: M.D.
Location Address800 MACARTHUR BLVD, SUITE 21Munster, IN 46321-2917
Mailing Address800 Macarthur Blvd, Suite 21Munster, IN 46321-2917 · (219) 836-1163 · Fax (844) 270-6677
Phone(219) 836-1163
Fax(844) 270-6677
Sole ProprietorYes
Enumeration DateMarch 28, 2008
Last NPPES UpdateAugust 3, 2016
✔ NPI 1871765057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in IN · 01074460A✔ Licensed in TX · N9993
Definition
A surgeon who specializes in plastic and reconstructive surgery.
800 MACARTHUR BLVD, Munster, IN 46321
Open in Google Maps ↗

Other Identifiers 4

OtherMEDICAREIN · In2244001
OtherP01602561IN · Rr Medicare
Other0914915IN · Bcbs In
Other8DT481TX · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 10

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

DR. JAY C. L.. PAIK M.D.
Internal Medicine
800 MACARTHUR BLVD, #15
MUNSTER, IN 46321
Lake County (219) 836-6411
FRED ADLER, M.D., P.C.
Clinic/Center (Health Service)
800 MACARTHUR BLVD, SUITE 2
MUNSTER, IN 46321
Lake County (219) 836-4000
LINDA T CHAN M.D
Pediatrics
800 MACARTHUR BLVD, STE 21
MUNSTER, IN 46321
Lake County (219) 836-1163
GIRAGOS HEART AND VASCULAR CENTER
Thoracic Surgery (Cardiothoracic Vascular Surgery)
800 MACARTHUR BLVD, SUITE 25
MUNSTER, IN 46321
Lake County (219) 836-1200
RICHARD J PEACH OD INC
Optometrist
800 MACARTHUR BLVD, SUITE 10
MUNSTER, IN 46321
Lake County (219) 836-5326
DR. PAULINO Y. CHAN M.D.
Orthopaedic Surgery
800 MACARTHUR BLVD, STE 21
MUNSTER, IN 46321
Lake County (219) 836-1163
PAULINO Y. CHAN, MD, INC
Orthopaedic Surgery
800 MACARTHUR BLVD, STE 21
MUNSTER, IN 46321
Lake County (219) 836-1163
RICHARD J PEACH O.D.
Optometrist
800 MACARTHUR BLVD, SUITE 10
MUNSTER, IN 46321
Lake County (219) 836-5326

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 Jason Petrungaro's NPI number?

The NPI number for Jason Petrungaro is 1871765057. It was assigned to this individual provider in the NPPES registry on March 28, 2008.

Where is Jason Petrungaro located?

Jason Petrungaro practices at 800 Macarthur Blvd Suite 21, Munster, IN 46321. The listed phone number is (219) 836-1163.

What is Jason Petrungaro's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Jason Petrungaro was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.