Individual provider Active NPI

Akuvi Akpedze Didi Agbo Atchon

  • Family Nurse Practitioner
  • Gary, IN
National Provider Identifier
1245826544
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.022525 Issued in IL
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

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

8777 Broadway
Merrillville, IN 46410-6693
Phone (219) 738-3854

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.022525ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Pulmonary & Sleep Associates, Inc CurrentSince Jun 1, 2021 Accepting new patients
Inpatient Physician Group LLC CurrentSince Feb 1, 2025 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Mar 6, 2025 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
Home Visiting Physicians LLC CurrentSince Jan 17, 2022 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Mar 6, 2025 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.

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

Verify at the official NPI Registry.