Active NPI
Dylan Slotar, MD
- Infectious Disease Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 01062924A
- Practice address
- 761 45TH Ave
Ste 103
Munster, IN 46321-2893 - Phone
- (219) 922-3002
- Fax
- (219) 922-3003
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 01062924A | IN | Primary |
Addresses
Primary practice location
761 45TH Ave
Ste 103
Munster, IN 46321-2893
Mailing address
10110 Don S Powers Dr Ste 101D
Munster, IN 46321-4070
Phone (219) 301-7244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M47140081 | Other | IN | MEDICARE PTAN |
| 200850540 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dslotar7413@ssdirect.comhs.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Macarthur Blvd
Suite 28
Munster, IN 46321-2917
Phone (219) 440-5290
Hospital & facility affiliations
- Community Hospital
- St Catherine Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062924A | IN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Advanced Care Medical Specialists, P.C. | Past | Accepting new patients |
Locations
801 MacArthur Blvd
Ste 401
Munster, IN 46321
Phone (219) 836-2860
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
10110 Donald S Powers Dr
Ste 101D
Munster, IN 46321
Phone (219) 301-7265
800 MacArthur Blvd
Ste 28
Munster, IN 46321
Phone (219) 440-5290
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
Interoperability endpoints
- dslotar64175@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.
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
-
- Internal Medicine Physician
- Munster, IN
- NPI 1689030918
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1154429074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10110 DON S POWERS DR STE 101D",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214070",
"telephone_number": "219-301-7244",
"fax_number": "219-595-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 45TH AVE",
"address_2": "STE 103",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212893",
"telephone_number": "219-922-3002",
"fax_number": "219-922-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOTAR",
"first_name": "DYLAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "01062924A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M47140081",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200850540",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dslotar7413@ssdirect.comhs.org",
"affiliation": "N",
"address_1": "800 MacArthur Blvd Ste 28",
"city": "Munster",
"state": "IN",
"country_code": "US",
"postal_code": "463212917",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.