NPIMap

Individual provider Active NPI

Fadee Kutom, MD

  • Pulmonary Disease Physician
  • Hobart, IN
National Provider Identifier
1245717909
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01096431A Issued in IN
Practice address
1400 S Lake Park Ave Ste 405
Hobart, IN 46342-6791
Phone
(219) 769-0054
Fax
(219) 703-6959
NPI assigned
Jul 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01096431A IN Primary

Addresses

Primary practice location

1400 S Lake Park Ave Ste 405
Hobart, IN 46342-6791

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other practice location 1

10215 Broadway Fl 1
Crown Point, IN 46307-8001
Phone (219) 769-0054

Other identifiers 1

IdentifierTypeStateIssuer
300116237MedicaidIN

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
I20250619000436 IN Practitioner - Pulmonary Disease 8921428277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians
Chest Physician Consultants, LTDGroup PAC ID 9931173937, 8 clinicians

Practice addresses (Care Compare)

1400 S Lake Park Ave
Suite 405
Hobart, IN 46342-6791
Phone (219) 945-4489

8840 Calumet Ave
Suite 206
Munster, IN 46321-2546
Phone (219) 836-7723

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.072953ILMDInternal Medicine Physician
01096431AINMDPulmonary Disease Physician
4301507051MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Chest Physician Consultants, LTD Pulmonary Disease CurrentSince Jul 1, 2025 Accepting new patients
Community Care Network Inc Internal Medicine PastSince Jun 25, 2026 Accepting new patients
Grabarek Rehabilitation LLC PastSince Sep 3, 2025 Accepting new patients

Locations

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1400 S Lake Park Ave
Ste 405
Hobart, IN 46342
Phone (219) 942-8583

8840 Calumet Ave
Ste 206
Munster, IN 46321
Phone (219) 513-0092

Interoperability endpoints

  • Direct secure messaging: fkutom3893822@direct.trinity-health.org
  • Direct secure messaging: fkutom948451@direct.hfhs.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 5

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1245717909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE STE 405",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426791",
            "telephone_number": "219-769-0054",
            "fax_number": "219-703-6959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10215 Broadway Fl 1",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078001",
            "country_code": "US",
            "telephone_number": "219-769-0054",
            "fax_number": "219-703-6959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTOM",
        "first_name": "FADEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01096431A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300116237",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.