Individual provider Active NPI

Arsenio Santiago Favor, M.D.

  • Surgery Physician
  • Demotte, IN
National Provider Identifier
1104867068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01035167A Issued in IN
Practice address
10107 N 575 E
Demotte, IN 46310-8009
Phone
(219) 345-5611
Fax
(219) 345-5140
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01035167A IN Primary

Addresses

Primary practice location

10107 N 575 E
Demotte, IN 46310-8009

Mailing address

10107 N 575 E
Demotte, IN 46310-8009
Phone (219) 345-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080805000705 IN Practitioner - General SurgeryPractitioner - General Practice 1658445986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Care Solutions PC 23 clinicians
Hope-Facs LLC 2 clinicians

Practice addresses (Care Compare)

2640 Hamstrom Rd
Portage, IN 46368-3832
Phone (219) 359-3364

7781 E Ridge Rd
Suite B
Hobart, IN 46342-2484
Phone (219) 940-0005

7781 E Ridge Rd
Suite B
Hobart, IN 46342-2487

9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone (219) 756-2100

Hospital & facility affiliations

  • Pinnacle Hospital Hospital, Crown Point, IN, CCN 150166
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Chesterton Manor Nursing home, Chesterton, IN, CCN 155246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01035167AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Care Solutions P.C. CurrentSince Mar 1, 2025 Accepting new patients
Hope-Facs L.L.C. Surgery CurrentSince Apr 14, 2008 Accepting new patients
Leestma Medical Clinic, Inc Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

8833 Gross Point Rd
Ste 300
Skokie, IL 60077
Phone (773) 501-2361

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

10971 Four Seasons Pl
Ste 121
Crown Point, IN 46307

10107 N 575 E
Demotte, IN 46310
Phone (219) 345-5611

7781 E Ridge Rd
Ste B
Hobart, IN 46342
Phone (219) 769-4567

7781 E Ridge Rd
Hobart, IN 46342
Phone (219) 947-0797

2640 Hamstrom Rd
Portage, IN 46368
Phone (219) 359-3364

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21537/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104867068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 N 575 E",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108009",
            "telephone_number": "219-345-5611",
            "fax_number": "219-345-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 N 575 E",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108009",
            "telephone_number": "219-345-5611",
            "fax_number": "219-345-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVOR",
        "first_name": "ARSENIO",
        "middle_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01035167A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demotte, IN

Sources for this page

Verify at the official NPI Registry.