Individual provider Active NPI

Matthew G Troy, MD

  • Surgery Physician
  • Michigan City, IN
National Provider Identifier
1275528093
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01049536A Issued in IN
Practice address
3500 Franciscan Way Ste 300
Michigan City, IN 46360-0021
Phone
(219) 879-6531
Fax
(219) 878-8331
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01049536A IN Primary

Addresses

Primary practice location

3500 Franciscan Way Ste 300
Michigan City, IN 46360-0021

Mailing address

1040 Sierra Dr Ste 400
Greenwood, IN 46143-7241
Phone (317) 528-4800

Other identifiers 3

IdentifierTypeStateIssuer
200199450MedicaidIN
P00252552OtherRR MEDICARE
000000371643OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtroy5756@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050826000221 IN Practitioner - General Surgery 7911938220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Dermatology Institute, LLCGroup PAC ID 7911043054, 51 clinicians

Practice addresses (Care Compare)

1550 S Woodland Ave
Michigan City, IN 46360-7125
Phone (219) 878-5020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision231
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Dermatology Institute, LLC CurrentSince Apr 1, 2023 Accepting new patients
Franciscan Physician Network PastSince Aug 1, 2011 Accepting new patients
Decatur Memorial Hospital Past Accepting new patients
Northern Indiana Dermatology and Skin Surgery Center Past Accepting new patients

Locations

2622 Momentum Pl
Chicago, IL 60689

425 Sand Creek Dr
Chesterton, IN 46304
Phone (219) 395-9353

11061 Broadway
#B
Crown Point, IN 46307
Phone (219) 232-9209

1225 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 873-2919

1550 S Woodland Ave
Michigan City, IN 46360
Phone (219) 878-5020

9601 Calumet Ave
Ste E
Munster, IN 46321
Phone (219) 491-3376

3190 Lancer St
Portage, IN 46368
Phone (219) 764-3600

3190 Lancer St
Ste 101
Portage, IN 46368

Interoperability endpoints

  • Direct secure messaging: mtroy@illinois.emadirect.md
  • Direct secure messaging: mtroy5756@direct.franciscanalliance.org

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 2

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1275528093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR STE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437241",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FRANCISCAN WAY STE 300",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463600021",
            "telephone_number": "219-879-6531",
            "fax_number": "219-878-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROY",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01049536A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200199450",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00252552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000371643",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtroy5756@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3500 Franciscan Way Ste 300",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463600021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.