NPIMap

Individual provider Active NPI

Elizabeth Marie Riddell, MD PHARMD

  • Cardiovascular Disease Physician
  • Hobart, IN
National Provider Identifier
1245506401
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01075060A Issued in IN
Practice address
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone
(219) 947-6017
NPI assigned
Mar 31, 2012
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01075060A IN
Cardiovascular Disease Physician 207RC0000X 01075060A IN Primary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 01075060A IN

Addresses

Primary practice location

1500 S Lake Park Ave
Hobart, IN 46342-6638

Mailing address

1404 Castle Dr
Lafayette, IN 47905-8887

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
I20190618003538 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Advanced Heart Failure and Transplant Cardiology 1355698606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

1400 S Lake Park Ave
Suite 301
Hobart, IN 46342-6791
Phone (219) 762-0400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01075060AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Internal Medicine CurrentSince Jan 15, 2026 Accepting new patients
Rush Memorial Hospital Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Rush Memorial Hospital CurrentSince Feb 1, 2022 Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

1400 S Lake Park Ave
Ste 301
Hobart, IN 46342
Phone (219) 762-0400

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

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

6375 US Highway 6
Ste B
Portage, IN 46368
Phone (219) 762-0400

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

3800 Saint Mary Rd
Ste 201
Valparaiso, IN 46383
Phone (219) 286-3775

Interoperability endpoints

  • Direct secure messaging: elizabeth.riddell.1@7598.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1245506401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 CASTLE DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDELL",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-31",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01075060A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01075060A",
            "primary": true
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IN",
            "license": "01075060A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.