Jorge Medina, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01061849A Issued in IN

Practice address

4500 W 181St Ave
Lowell, IN 46356-0017

Phone

(219) 690-2016

Fax

(219) 690-1862

NPI assigned

Jun 1, 2006

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franciscan Home Care Home health agency, Hobart, IN, CCN 157145
• Elara Caring Home health agency, Valparaiso, IN, CCN 157095
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
• Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmedina44478@direct.franciscanalliance.org

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.

• Franciscan Physician Network

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225327984

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Franciscan Physician Network

  • Clinic/Center
  • Lafayette, IN
  • NPI 1992543250
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• Franciscan Health Dyer & Hammond

  dba Franciscan Home Care

  • Home Health Agency
  • Hobart, IN
  • NPI 1144225491
  Care Compare affiliation
• Franciscan Health Rensselaer, Inc.

  dba Franciscan Healthcare Rensselaer

  • Critical Access Hospital
  • Rensselaer, IN
  • NPI 1932589173
  Care Compare affiliation
• GLC Home Health Nin LLC

  dba Elara Caring

  • Home Health Agency
  • Valparaiso, IN
  • NPI 1013493493
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1194762054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482787241",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W 181ST AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463560017",
            "telephone_number": "219-690-2016",
            "fax_number": "219-690-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061849A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200825470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRADITIONAL",
            "identifier": "000000722508",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmedina44478@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11161 Randolph Street",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463078564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jill Irene Maddack, APN
• Joseph Clair Mattingly, D.D.S.
• Claire McDaniel, LSW
• Megan McGuffage
• Michael William McNally, D.D.S.
• Cheryl Michalesko
• Mobility Transport, LLC
• Kesha Molden
• Usbaldo Miguel Montoya, ATC, LATC
• Anthony Moreno

• Internal Medicine Physician in Lowell, IN
• Providers in Lowell, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.

Verify at the official NPI Registry.