Individual provider Active NPI

Raymond J Loffer, MD

  • Neurology Physician
  • Indianapolis, IN
National Provider Identifier
1235133802
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01058493A Issued in IN
Practice address
1400 N Ritter Ave Ste 220
Indianapolis, IN 46219-3046
Phone
(317) 715-5600
Fax
(317) 715-5618
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01058493 IN
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 01058493A IN
Neurology Physician 2084N0400X 01058493A IN Primary

Addresses

Primary practice location

1400 N Ritter Ave Ste 220
Indianapolis, IN 46219-3046

Mailing address

6983 Hillsdale CT
Indianapolis, IN 46250-2054
Phone (317) 849-8350

Other identifiers 2

IdentifierTypeStateIssuer
000000318316OtherINANTHEM BXBS
200464390MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals@jwmn.gwaydirect.com Direct

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
I20040610001337 IN Practitioner - NeurologyPractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 2062495997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
University of Oklahoma College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Josephson-Wallack-Munshower Neurology PCGroup PAC ID 6709868870, 59 clinicians

Practice addresses (Care Compare)

1400 N Ritter Ave
Suite 220
Indianapolis, IN 46219-3049
Phone (317) 715-5600

Hospital & facility affiliations

  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

Merit-based Incentive Payment System (MIPS)

Final score
69.89 of 100Reported as group
Promoting interoperability
56
Improvement activities
40
Cost
76.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13182OKMDMarriage & Family Therapist
5093SDMDPharmacist
01058493AINMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Josephson-Wallack-Munshower Neurology PC Neurology CurrentSince Jan 1, 2004 Accepting new patients
Josephson-Wallack-Munshower Neurology PC Neurology Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1400 N Ritter Ave
Ste 220
Indianapolis, IN 46219
Phone (317) 355-1555

1400 N Ritter Ave
Ste 120
Indianapolis, IN 46219
Phone (317) 355-1000

7250 Clearvista Dr
Ste 225
Indianapolis, IN 46256
Phone (317) 537-6088

6983 Hillsdale Ct
Indianapolis, IN 46250

2330 S Dixon Rd
Kokomo, IN 46902
Phone (765) 455-5400

2330 S Dixon Rd
Ste 325
Kokomo, IN 46902
Phone (765) 455-8822

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1235133802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 HILLSDALE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502054",
            "telephone_number": "317-849-8350",
            "fax_number": "317-576-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N RITTER AVE STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193046",
            "telephone_number": "317-715-5600",
            "fax_number": "317-715-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFFER",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01058493",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "IN",
            "license": "01058493A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01058493A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BXBS",
            "identifier": "000000318316",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200464390",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@jwmn.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 N Ritter Ave Ste 220",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462193046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.