Active NPI
Eugene Huang, MD
- Emergency Medicine Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01044995
- Practice address
- 301 E Day Rd
Mishawaka, IN 46545-3455 - Phone
- (574) 204-7243
- Fax
- (574) 226-0795
- NPI assigned
- Aug 16, 2005
- Last updated
- Oct 23, 2024
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01044995 | IN | Primary |
Addresses
Primary practice location
301 E Day Rd
Mishawaka, IN 46545-3455
Mailing address
211 N Eddy St
South Bend, IN 46617-3096
Phone (574) 234-8161
Other practice location 1
211 N Eddy St
South Bend, IN 46617-3096
Phone (574) 246-8816
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103268226 | Medicaid | MI | |
| 200102080A | Medicaid | IN | |
| 000000082224 | Other | IN | ANTHEM |
| 930035898 | Other | IN | RAIL ROAD MEDICARE |
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
- Emergency Medicine
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 E Day Rd
Mishawaka, IN 46545-3455
Phone (574) 204-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044995 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The South Bend Clinic LLC | Current | Accepting new patients | |
| The South Bend Clinic, LLC | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Elite Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
Locations
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
900 Johnson St
Elkhart, IN 46514
Phone (574) 747-8004
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
301 E Day Rd
Mishawaka, IN 46545
Phone (574) 204-7300
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
Interoperability endpoints
- ehuang264031@dulyhealthandcare.direct-ci.com
- https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
-
- Anesthesiology Physician
- South Bend, IN
- NPI 1487307492
-
- Emergency Medicine Physician
- Elkhart, IN
- NPI 1932155371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1164414173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N EDDY ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466173096",
"telephone_number": "574-234-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E DAY RD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453455",
"telephone_number": "574-204-7243",
"fax_number": "574-226-0795"
}
],
"practiceLocations": [
{
"address_1": "211 N Eddy St",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466173096",
"country_code": "US",
"telephone_number": "574-246-8816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUANG",
"first_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2024-10-23",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01044995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103268226",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200102080A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000082224",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "930035898",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.