Active NPI
Jennifer A. Pallone, D.O.
- Psychiatry Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 02001957A
- Practice address
- 521 E 86TH Ave Ste Z
Merrillville, IN 46410-6236 - Phone
- (219) 769-0777
- Fax
- (219) 755-0608
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 62273 | CT | |
| Neurology Physician | 2084N0400X | 036084506 | IL | |
| Neurology Physician | 2084N0400X | 297065 | NY | |
| Psychiatry Physician | 2084P0800X | 02001957A | IN | Primary |
Addresses
Primary practice location
521 E 86TH Ave Ste Z
Merrillville, IN 46410-6236
Mailing address
521 E 86TH Ave Ste Z
Merrillville, IN 46410-6236
Phone (219) 769-0777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400160547 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| 201614 | Other | IL | MEDICARE PTAN (GROUP) |
| 84101 | Other | ANTHEM | |
| 036084506 | Other | IL | MEDICAID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6236
Phone (219) 769-0777
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 56.64
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043040 | NY | MD | Pharmacist |
| 62273 | CT | MD | Neurology Physician |
| 036084506 | IL | MD | Neurology Physician |
| 297065 | NY | MD | Neurology Physician |
| 02001957A | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Neurology | Current | Accepting new patients |
| Centers for Neurological Diseases, PC | Neurology | Current | Accepting new patients |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Health Quest Medical Practice, PC | Past | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777
521 E 86th Ave
Merrillville, IN 46410
Phone (219) 323-3311
Organizations & group practices 6
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.
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
dba The Neurological Institute and Specialty Centers
- Neurology Physician
- Merrillville, IN
- NPI 1740882737
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
dba The Neuroscience Institute of NWI
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1295888923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 E 86TH AVE STE Z",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106236",
"telephone_number": "219-769-0777",
"fax_number": "219-755-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E 86TH AVE STE Z",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106236",
"telephone_number": "219-769-0777",
"fax_number": "219-755-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLONE",
"first_name": "JENNIFER",
"middle_name": "A.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "62273",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036084506",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "297065",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "02001957A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "F400160547",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "201614",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "84101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "036084506",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.