Organization Active NPI

Nwi Home Doctor and Pain Management LLC

  • Internal Medicine Physician
  • East Chicago, IN
National Provider Identifier
1154236016
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NWI HOME DOCTOR AND PAIN MANAGEMENT LLC
Practice address
3847 Euclid Ave
East Chicago, IN 46312-2332
Phone
(219) 398-0700
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Adam Mlynarcik
Title
Billing Manager
Phone
(219) 769-1670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3847 Euclid Ave
East Chicago, IN 46312-2332

Mailing address

2054 Richard Gordon Hatcher Blvd
Gary, IN 46404-3060

National Provider Directory

National Provider Directory

Locations

3847 Euclid Ave
East Chicago, IN 46312
Phone (219) 354-0561

2054 Richard Gordon Hatcher Blvd
Gary, IN 46404

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1154236016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 RICHARD GORDON HATCHER BLVD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 EUCLID AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122332",
            "telephone_number": "219-398-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWI HOME DOCTOR AND PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "MLYNARCIK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "219-769-1670"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.