Ted George Ody Achufusi Jr., MD
Individual provider Active NPI Gastroenterology Physician · Munster, IN
NPI 1053809392 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1053809392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 01093494A (IN)
- Practice address
- 9410 Calumet Ave Ste 401
Munster, IN 46321-0018 - Phone
- (219) 922-4900
- Fax
- (219) 836-9922
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Methodist Hospitals Inc
Dalal Medical Corporation
Practice addresses (Care Compare)
101 E 87TH Ave
Methodist ENT Services
Merrillville, IN 46410-7335
Phone (219) 795-1309
9410 Calumet Ave
Suite 401
Munster, IN 46321-0018
Phone (219) 922-4900
Hospital & facility affiliations
- Methodist Hospitals Inc
- Franciscan Health Dyer
- Franciscan Health Munster
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 24 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 40 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250421000463 | IN | Practitioner - Gastroenterology | 4486990314 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01093494A | IN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalal Medical Corporation | Gastroenterology | Current |
Accepting new patients |
| The Methodist Hospitals, Inc | Current |
Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Gastroenterology | Current |
Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
9410 Calumet Ave
Ste 401
Munster, IN 46321
Phone (219) 922-4900
Interoperability endpoints
- tachufusi823762@direct.hfhs.org
- tachufusi183490@themethodisthospitals.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | 01093494A | IN | Yes |
Addresses
Primary practice location
9410 Calumet Ave Ste 401
Munster, IN 46321-0018
Mailing address
6738 Blackstone Cir
Portage, IN 46368-2693
Other providers in Munster, IN
- Betsy Abraham
- Absolute Power Inc.
- Accelerated Rehabilitation Centers, LTD
- Access Transport LLC
- Ony Achufusi
- Suzanna Elena Acosta
- Active Day in, Inc.
- Sara B. Adams
- Vijay Krishna Adavelly
- Anna Ejuile Adekugbe
All providers in Munster, IN · Gastroenterology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.