Active NPI
Trucare Medical Center
- Pediatrics Physician
- Highland, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01055919A
- Legal business name
- TRUCARE MEDICAL CENTER
- Practice address
- 8437 Kennedy Ave
Highland, IN 46322-1140 - Phone
- (219) 662-3931
- Fax
- (219) 663-6359
- NPI assigned
- Sep 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aida Ramirez, JD
- Title
- Coo
- Phone
- (219) 237-2079
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01055919A | IN | |
| Pediatrics Physician | 208000000X | 01055919A | IN | Primary |
Addresses
Primary practice location
8437 Kennedy Ave
Highland, IN 46322-1140
Mailing address
1500 Eagle Ridge Drive
Suite 201
Schererville, IN 46375
Phone (219) 237-2079
Other practice location 1
1500 Eagle Ridge Drive
Suite 202
Schererville, IN 46375
Phone (219) 237-2079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161121000562 | IN | Part B Supplier - Clinic/Group Practice | 2062791718 |
Receives reassigned benefits from 2 practitioners Practice locations: Schererville, IN; Highland, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2188993 | Trucare Medical Center | Certificate of waiver | Jul 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
1500 Eagle Ridge Dr
Ste 201
Schererville, IN 46375
Phone (219) 237-2079
1500 Eagle Ridge Dr
Ste 202
Schererville, IN 46375
Phone (219) 237-2079
1721 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 515-9680
1721 E Charleston Blvd
#3
Las Vegas, NV 89104
1721 E Charleston Blvd
Fl 3
Las Vegas, NV 89104
Phone (702) 685-0620
Interoperability endpoints
- https://api.platform.athenahealth.com/15021/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1922009208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593561600000",
"number": "1285182147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 EAGLE RIDGE DRIVE",
"address_2": "SUITE 201",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "46375",
"telephone_number": "219-237-2079",
"fax_number": "219-595-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8437 KENNEDY AVE",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221140",
"telephone_number": "219-662-3931",
"fax_number": "219-663-6359"
}
],
"practiceLocations": [
{
"address_1": "1500 Eagle Ridge Drive",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Schererville",
"state": "IN",
"postal_code": "46375",
"country_code": "US",
"telephone_number": "219-237-2079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRUCARE MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-20",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "AIDA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "219-237-2079",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IN",
"license": "01055919A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IN",
"license": "01055919A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.