Eldi E Deschamps, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1026514 Issued in IN

Practice address

8510 Broadway
Merrillville, IN 46410-7032

Phone

(219) 736-2200

Fax

(219) 736-2222

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novamed Surgery Center of Merrillville, LLC

  • Ambulatory Surgical Clinic/Center
  • Crown Point, IN
  • NPI 1609874254
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1013913771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-736-2200",
            "fax_number": "219-736-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-736-2200",
            "fax_number": "219-736-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHAMPS",
        "first_name": "ELDI",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "1026514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200079690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Services of Indiana, P.C.
• Amy Denton
• David Martin Derengowski
• Dermatology Associates of Northwest Indiana, PC
• Deschamps Eye Care PC
• Jonathan Destjean
• Breanna Devine
• Avinash Nanikram Devnani, MD
• Brie Deyoung
• Srikietr Dhana, MD

• Ophthalmology Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.