Active NPI
Akuvi Akpedze Didi Agbo Atchon
- Family Nurse Practitioner
- Gary, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.022525
- Practice address
- 650 Grant St Ste 7
Gary, IN 46404-1551 - Phone
- (219) 882-9900
- NPI assigned
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.022525 | IL | Primary |
Addresses
Primary practice location
650 Grant St Ste 7
Gary, IN 46404-1551
Mailing address
479 O'Hagan Dr
Crown Point, IN 46307
Phone (312) 203-6788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210325002299 | IL | Practitioner - Nurse Practitioner | 8921415571 | Reassigns benefits to 1 organization |
| I20210609001439 | IN | Practitioner - Nurse Practitioner | 8921415571 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Methodist Hospitals Inc
Practice addresses (Care Compare)
8777 Broadway
Merrillville, IN 46410-6693
Phone (219) 738-3854
Hospital & facility affiliations
- Methodist Hospitals Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.022525 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Pulmonary & Sleep Associates, Inc | Current | Accepting new patients | |
| Inpatient Physician Group LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Home Visiting Physicians LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients |
Locations
855 E Golf Rd
Ste 2133
Arlington Hts, IL 60005
Phone (847) 290-9122
27350 Network Pl
Chicago, IL 60673
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151
3156 Willowcreek Rd
Portage, IN 46368
Phone (219) 762-4999
2700 Valparaiso St
#1663
Valparaiso, IN 46383
2700 Valparaiso St
Ste 1663
Valparaiso, IN 46383
Organizations & group practices 11
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.
-
- Pulmonary Disease Physician
- Gary, IN
- NPI 1003096504
IN
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- Gynecologic Oncology Physician
- Gary, IN
- NPI 1124283858
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
-
- Pharmacy
- Gary, IN
- NPI 1932672888
-
- Rehabilitation Hospital Unit
- Gary, IN
- NPI 1710039508
-
- Home Health Agency
- Merrillville, IN
- NPI 1760474670
-
- Gastroenterology Physician
- Gary, IN
- NPI 1326614991
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": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1245826544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 O'HAGAN DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "312-203-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 GRANT ST STE 7",
"city": "GARY",
"state": "IN",
"postal_code": "464041551",
"telephone_number": "219-882-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBO ATCHON",
"first_name": "AKUVI",
"middle_name": "AKPEDZE DIDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.022525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.