Active NPI
Joshua Thomas Sandifer, AGPCNP-BC
- Adult Health Nurse Practitioner
- Highland, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 28195432A
- Practice address
- 9030 Cline Ave Ste a
Highland, IN 46322-2204 - Phone
- (219) 750-9497
- NPI assigned
- May 22, 2020
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 28195432A | IN | Primary |
Addresses
Primary practice location
9030 Cline Ave Ste a
Highland, IN 46322-2204
Mailing address
3676 Sagebrook St
Portage, IN 46368-5483
Phone (219) 465-8224
Other names 1
- Joshua Thomas Aguilar Sandifer
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
901 Lincolnway
La Porte, IN 46350-3430
Phone (708) 960-4280
9030 Cline Ave
Highland, IN 46322-2204
Phone (219) 750-9497
Hospital & facility affiliations
- Methodist Hospitals Inc
- St Mary Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.32 of 100
- Quality
- 48.21
- Promoting interoperability
- 21
- Improvement activities
- 40
- Cost
- 55.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28195432A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicagoland Infectious Disease PC | Current | Accepting new patients | |
| Housecall Doctors. P.C. | Current | Accepting new patients | |
| Housecall Doctors PC | Past | Accepting new patients |
Locations
430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757
9030 Cline Ave
Highland, IN 46322
Phone (219) 750-9474
9030 Cline Ave
Ste A
Highland, IN 46322
Phone (219) 750-9497
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
901 Lincolnway
Laporte, IN 46350
Phone (219) 325-8070
8300 Broadway
Ste D1
Merrillville, IN 46410
Phone (219) 750-9497
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Merrillville, IN
- NPI 1396050142
-
- Podiatrist
- Merrillville, IN
- NPI 1407278377
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1194348292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3676 SAGEBROOK ST",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685483",
"telephone_number": "219-465-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 CLINE AVE STE A",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222204",
"telephone_number": "219-750-9497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDIFER",
"first_name": "JOSHUA",
"middle_name": "THOMAS",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "28195432A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSHUA",
"last_name": "AGUILAR SANDIFER",
"middle_name": "THOMAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.