Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Michael Petrungaro, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1871765057

Dr. Jason Michael Petrungaro, MD is a Plastic and Reconstructive Surgery Physician in Munster, Indiana. Practices as a sole proprietor. Licensed in Indiana and Texas.

Licensed in
IN, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

800 Macarthur Blvd Ste 21
Munster, IN 46321-2917
Phone: (219) 836-1163
Fax: (844) 270-6677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 01074460A (IN)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence N9993 (TX)

Record details

NPI number1871765057
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2008
Last updated in NPPESAugust 3, 2016

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