Individual provider Active NPI

Joshua Thomas Sandifer, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Highland, IN
National Provider Identifier
1194348292
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28195432A Issued in IN
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

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611002762 IN Practitioner - Nurse Practitioner 1951723360 Reassigns benefits to 2 organizations

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
Chicagoland Infectious Disease PCGroup PAC ID 5193948362, 38 clinicians
Housecall Doctors. P.C.Group PAC ID 8022292861, 10 clinicians

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 Hospital, Gary, IN, CCN 150002
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

Merit-based Incentive Payment System (MIPS)

Final score
61.32 of 100Reported as group
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

LicenseStateTypeSpecialty
28195432AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Infectious Disease PC CurrentSince May 19, 2025 Accepting new patients
Housecall Doctors. P.C. CurrentSince Jun 10, 2020 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.