Individual provider Active NPI

Eduardo Braun, M.D.

  • Medical Oncology Physician
  • Westville, IN
National Provider Identifier
1144486309
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
01072837A Issued in IN
Practice address
1668 S US Highway 421
Westville, IN 46391-9523
Phone
(800) 860-8100
Fax
(574) 282-2813
NPI assigned
Aug 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01072837A IN
Internal Medicine Physician 207R00000X 125053218 IL
Medical Oncology Physician 207RX0202X 01072837A IN Primary

Addresses

Primary practice location

1668 S US Highway 421
Westville, IN 46391-9523

Mailing address

100 E Wayne St Ste 510
South Bend, IN 46601-2349
Phone (574) 334-5390

Other identifiers 1

IdentifierTypeStateIssuer
200340290MedicaidIN

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
I20130910000042 IN Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical Oncology 1951545169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Cancer Centers PCGroup PAC ID 4587553474, 26 clinicians

Practice addresses (Care Compare)

1001 Calumet Ave
Dyer, IN 46311-1596
Phone (219) 924-8178

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125053218ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Cancer Centers, PC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
University of Chicago CurrentSince Sep 1, 2023 Accepting new patients

Locations

10191 Broadway
#200
Crown Point, IN 46307
Phone (219) 924-8178

342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550

1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178

1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

1331 State St
Ste 270
La Porte, IN 46350
Phone (219) 236-0943

1331 State St
Ste 240
La Porte, IN 46350
Phone (219) 326-0943

5510 Franklin St
Michigan City, IN 46360
Phone (219) 809-2600

3800 Saint Mary Rd
Ste 302
Valparaiso, IN 46383
Phone (219) 464-1620

Interoperability endpoints

  • Direct secure messaging: ebraun279671@uchospital.direct-ci.com
  • Direct secure messaging: ebraun159040@direct.franciscanalliance.org

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 7

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1144486309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WAYNE ST STE 510",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012349",
            "telephone_number": "574-334-5390",
            "fax_number": "574-334-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 S US HIGHWAY 421",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919523",
            "telephone_number": "800-860-8100",
            "fax_number": "574-282-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01072837A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125053218",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01072837A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200340290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westville, IN

Sources for this page

Verify at the official NPI Registry.