Individual provider Active NPI

Dylan Slotar, MD

  • Infectious Disease Physician
  • Munster, IN
National Provider Identifier
1154429074
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01062924A Issued in IN
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

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
M47140081OtherINMEDICARE PTAN
200850540MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000443 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 5991707721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

800 Macarthur Blvd
Suite 28
Munster, IN 46321-2917
Phone (219) 440-5290

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062924AINMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Jul 12, 2021 Accepting new patients
Advanced Care Medical Specialists, P.C. PastSince Apr 20, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.