Individual provider Active NPI

Philip William McGuire, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hammond, IN
National Provider Identifier
1215920103
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01033795A Issued in IN
Practice address
2434 Interstate Plaza Dr
Hammond, IN 46324-2671
Phone
(800) 937-5521
Fax
(219) 845-4088
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 01033795A IN
Cytopathology Physician 207ZC0500X 03607 IL
Hematology (Pathology) Physician 207ZH0000X 01033795A IN
Hematology (Pathology) Physician 207ZH0000X 036071972 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036071972 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01033795A IN Primary

Addresses

Primary practice location

2434 Interstate Plaza Dr
Hammond, IN 46324-2671

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325

Other identifiers 7

IdentifierTypeStateIssuer
351173213OtherINISPAT/INLAND
2826773004OtherINCIGNA
82427OtherINBC/BS
351173213OtherINHFN
100387750AMedicaidIN
01630255OtherILBC/BS
351173213OtherINSAGAMORE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000090 IN Practitioner - Pathology 9436059201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Indiana University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Consultants IncGroup PAC ID 2466352208, 20 clinicians

Practice addresses (Care Compare)

2434 Interstate Plaza Dr
Hammond, IN 46324-2671
Phone (219) 989-3700

3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 879-8511

422 Franklin St
Michigan City, IN 46360-3385
Phone (219) 879-3586

600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4573

8865 W 400
Michigan City, IN 46360-9222
Phone (219) 872-2222

Hospital & facility affiliations

  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109

Merit-based Incentive Payment System (MIPS)

Final score
83.98 of 100Reported as group
Quality
81.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03607ILMDCytopathology Physician
036071972ILMDAnatomic Pathology & Clinical Pathology Physician
01033795AINMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Consultants Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathology Consultants Inc Cytopathology CurrentSince Aug 16, 1984 Accepting new patients
Consultants in Pathology SC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2434 Interstate Plaza Dr
Hammond, IN 46324
Phone (219) 989-3700

301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033

422 Franklin St
Michigan City, IN 46360
Phone (219) 879-3576

113 E 4th St
Michigan City, IN 46360
Phone (219) 873-3130

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • Direct secure messaging: pmcguire64292@direct.franciscanalliance.org

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 1

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1215920103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 INTERSTATE PLAZA DR",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242671",
            "telephone_number": "800-937-5521",
            "fax_number": "219-845-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "PHILIP",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "IN",
            "license": "01033795A",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "IL",
            "license": "03607",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "IN",
            "license": "01033795A",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "IL",
            "license": "036071972",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036071972",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01033795A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ISPAT/INLAND",
            "identifier": "351173213",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2826773004",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82427",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFN",
            "identifier": "351173213",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100387750A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01630255",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGAMORE",
            "identifier": "351173213",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.