Individual provider Active NPI

Akshay R. Trivedi, D.O.

  • Gastroenterology Physician
  • Valparaiso, IN
National Provider Identifier
1114175288
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
02003930A Issued in IN
Practice address
2206 Roosevelt Rd Ste a
Valparaiso, IN 46383-9618
Phone
(219) 464-2285
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036.118490 IL
Gastroenterology Physician 207RG0100X 02003930A IN Primary

Addresses

Primary practice location

2206 Roosevelt Rd Ste a
Valparaiso, IN 46383-9618

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-3616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akshay.trivedi.1@2340.direct.athenahealth.com

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
I20111018000775 IN Practitioner - Gastroenterology 0547432486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

2206 Roosevelt Rd
Valparaiso, IN 46383-9618
Phone (219) 464-9507

650 Dickinson Rd
Chesterton, IN 46304-3387

Hospital & facility affiliations

  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy149
Upper gastrointestinal (GI) endoscopy for acid reflux101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118490ILMDGastroenterology Physician
02003930AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC CurrentSince Feb 11, 2018 Accepting new patients
Porter Physician Services LLC Past Accepting new patients

Locations

2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

85 E US Highway 6
Ste 220
Valparaiso, IN 46383
Phone (219) 402-5057

2206 Roosevelt Rd
Ste A
Valparaiso, IN 46383
Phone (219) 464-2285

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

813 Porter Campus Dr
Ste Abc
Valparaiso, IN 46383
Phone (219) 926-3000

85 E US Highway 6
Ste 210
Valparaiso, IN 46383
Phone (219) 983-6210

2206 Roosevelt Rd
Ste B
Valparaiso, IN 46383
Phone (219) 464-9507

Organizations & group practices 2

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 5

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1114175288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-3616",
            "fax_number": "219-364-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 ROOSEVELT RD STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463839618",
            "telephone_number": "219-464-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "AKSHAY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.118490",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "02003930A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akshay.trivedi.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2206 Roosevelt Rd Ste A",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463839618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.