Organization Active NPI

Trucare Medical Center

  • Pediatrics Physician
  • Highland, IN
National Provider Identifier
1285182147
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01055919A Issued in IN
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

Updated by the provider on Jul 1, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 01055919A IN
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2188993Trucare Medical Center1500 Eagle Ridge Dr Ste 201, Schererville, IN 46375Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.