Aj Pampalone, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

02002618A Issued in IN

Practice address

2711 Leonard Dr Ste 101
Valparaiso, IN 46383-7121

Phone

(219) 462-6001

Fax

(219) 462-6060

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN, CA, KY3 enrollments

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 3

Specialty

Internal MedicineAlso: Nephrology

Education

Midwestern University, Chicago College of Osteopathic Med, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kidney Care of Michiana LLCGroup PAC ID 7810149309, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valparaiso Dialysis Dialysis facility, Valparaiso, IN, CCN 152699
• Portage Dialysis Center Dialysis facility, Portage, IN, CCN 152675
• FMC - Portage Dialysis Center Dialysis facility, Portage, IN, CCN 152565
• Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
• Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apampalone83062@direct.franciscanalliance.org
• FHIR API: https://api.platform.athenahealth.com/5893/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: apamplone42466@direct.acumenmd.com
• Direct secure messaging: apampalone4240269@direct.trinity-health.org

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.

• Kidney Care of Michiana LLC

  • Nephrology Physician
  • Mishawaka, IN
  • NPI 1093067530
  Medicare reassignment Care Compare group NPD
• Excellence in Renal Care LLC

  • Nephrology Physician
  • Chesterton, IN
  • NPI 1023886306
  Medicare reassignment NPD
• Barton Medical Foundation

  • Family Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1750950499
  Medicare reassignment NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527

  IN

  Medicare reassignment NPD
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865
  Medicare reassignment NPD
• Nephrology Associates of Northern Indiana, Inc

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1578505814
  NPD
• Nephrology Specialists, PC.

  • Nephrology Physician
  • Munster, IN
  • NPI 1881671865
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresenius Medical Care NW Indiana, LLC

  dba Portage Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Portage, IN
  • NPI 1114271582

  Dialysis facility

  Care Compare affiliation Name & address match
• The Dialysis Center of Portage LLC

  dba Portage Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Portage, IN
  • NPI 1700245834

  Dialysis facility

  Care Compare affiliation Name & address match
• The Dialysis Center of Valparaiso LLC

  dba Valparaiso Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Valparaiso, IN
  • NPI 1770062663

  Dialysis facility

  Care Compare affiliation Name & address match
• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• Franciscan Health Michigan City

  dba Franciscan Health Michigan City at La Porte

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1679336747
  Care Compare affiliation
• Franciscan Health Michigan City

  • General Acute Care Hospital
  • Michigan City, IN
  • NPI 1710051941
  Care Compare affiliation
• Porter Hospital LLC

  dba Northwest Health-Porter

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154
  Care Compare affiliation
• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1023965795
  Care Compare affiliation
• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1841245594
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1255337630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-575-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 LEONARD DR STE 101",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837121",
            "telephone_number": "219-462-6001",
            "fax_number": "219-462-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 Broadway",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "464084509",
            "country_code": "US",
            "telephone_number": "219-887-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMPALONE",
        "first_name": "AJ",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "02002618A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200508390",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marcia A Palmer, PHARM.D.
• Vineeta Panjwani
• Jon Henry Papineau, PHARMD
• Ryan William Pappas, D.O.
• Paraclete Counseling LLC
• Amber Pardo, CHW

• Nephrology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.

Verify at the official NPI Registry.