Uchicago Medicine Northwest Indiana Inc
Organization Active NPI General Acute Care Hospital · Crown Point, IN
NPI 1144914532 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1144914532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- UCHICAGO MEDICINE NORTHWEST INDIANA INC
- Practice address
- 10855 Virginia St
Crown Point, IN 46307-0210 - Phone
- (999) 999-9999
- NPI assigned
- Jun 7, 2023
- Organization subpart
- No
Authorized official
- Name
- Nicole Fountain
- Title
- Vice President Revenue Cycle
- Phone
- (773) 834-5895
Owners & managing parties with NPI records 7
-
Michael A McGee, MD
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 2
Facilities with the same owner 22
Affiliated clinicians 274
-
Maria Joanna Agoris, PA-C
-
Anjali Srivastava Ahn, M.D.
-
Jessica Lynn Bakker, FNP-C
-
Jenee Bhuju, M.D.
-
Daniel Cole, NP
-
Richard L. Cristea, M.D.
-
Ujor Ude Eko, M.D.
-
Brian John Evanson, M.D.
-
Ahmer Festok, DO
-
Anthony Nicholas Gentile, M.D.
-
Elena Gueorguiev, MD
-
Lindsay Jean Humpfer, FNP
-
Jong H Kim, MD
-
Pooja Pulin Kinkhabwala, D.O.
-
Ebenezer Kio, MD
-
Kyle Kleist, D.O.
-
Naina Mahngar, M.D.
-
Michael A McGee, MD
-
Thomas Pawlowski, D.O.
-
Omar M Perez, M.D.
-
Andrew J Putnam, MD
Medicare Care Compare: Hospital
- Listed as
- Uchicago Medicine Northwest Indiana
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Hospital certification: CCN 150195
- Legal name
- UCHICAGO MEDICINE NORTHWEST INDIANA INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 31, 2024
- Last certification
- Jul 31, 2024
- Beds
- 8
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 10855 Virginia St
Crown Point, IN 46307-0210 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Lauren Hull |
Corporate Officer |
Apr 15, 2022 | 20% |
| Phillip Kaufman |
Corporate Director |
Apr 15, 2002 | 20% |
| Michelle Salomon |
Corporate Officer | Jan 17, 2025 | |
| Krista M Curell |
Corporate Director |
Apr 15, 2022 | 20% |
| Suzanne Lestina |
W-2 Managing Employee |
Apr 15, 2022 | |
| Jennifer a Hill |
Corporate Director |
Apr 15, 2022 | 20% |
| Michael a McGee |
Corporate Director | Jan 17, 2025 | |
| The University of Chicago Medical Center |
5% Or Greater Indirect Ownership Interest | Mar 23, 2022 | 100% |
| University of Chicago |
5% Or Greater Indirect Ownership Interest | Mar 23, 2022 | 100% |
| Nicole Fountain |
Corporate Officer |
Apr 15, 2022 | |
| Judy Davidson |
Corporate Director | Jan 17, 2025 | |
| Uchicago Medicine Network, Inc. |
5% Or Greater Direct Ownership Interest | Jan 17, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240411002770 | IN | Part a Provider - Hospital | 2860831781 | Practice locations: Crown Point, IN |
National Provider Directory
- Tax ID family
- Uchicago Medicine Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
10855 Virginia St
Crown Point, IN 46307-0210
Mailing address
10855 Virginia St
Crown Point, IN 46307-0210
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Crown Point, IN
- Elaine Diana Tsiakopoulos
- Melissa Mae Tuma
- Michelle Joy Tupas
- Dajah Turner
- Dwight S Tyndall
- Uchicago Medicine Northwest Indiana Inc
- Mohammad Nizam Uddin
- Jennifer L Uhl
- Ultimate Rehab Services
- Danette Pacana Unabia
All providers in Crown Point, IN · General Acute Care Hospital in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.