NPIMap

Individual provider Active NPI

John Edward Dolatowski Jr., M.D.

  • Internal Medicine Physician
  • Hobart, IN
National Provider Identifier
1205922218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01035559B Issued in IN
Practice address
1441 South Lake Park Ave
Hobart, IN 46342
Phone
(219) 945-5888
Fax
(219) 945-5880
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01035559B IN Primary

Addresses

Primary practice location

1441 South Lake Park Ave
Hobart, IN 46342

Mailing address

1441 South Lake Park Ave
Hobart, IN 46342
Phone (219) 945-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000872 IN Practitioner - Internal Medicine 0244356715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1356 S Lake Park Ave
Hobart, IN 46342-5964
Phone (219) 945-5888

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01035559BINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Community Care Network Inc Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
219 Health Network Inc Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
219 Health Network, Inc. Past Accepting new patients
St. Mary Medical Center Inc Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients

Locations

1001 Main St
Fl 3
Dyer, IN 46311
Phone (219) 440-5334

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

1441 S Lake Park Ave
Hobart, IN 46342
Phone (219) 945-5888

1356 S Lake Park Ave
Hobart, IN 46342
Phone (219) 836-1310

164 Bracken Pkwy
Hobart, IN 46342
Phone (219) 942-1145

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

Organizations & group practices 7

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 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205922218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SOUTH LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "46342",
            "telephone_number": "219-945-5888",
            "fax_number": "219-945-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SOUTH LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "46342",
            "telephone_number": "219-945-5888",
            "fax_number": "219-945-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLATOWSKI",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01035559B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.