Individual provider Active NPI

Hung Dang, DO

  • Surgery Physician
  • Hobart, IN
National Provider Identifier
1316140882
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02003347A Issued in IN
Practice address
1400 S Lake Park Ave
Ste 200
Hobart, IN 46342-6971
Phone
(219) 942-6122
Fax
(219) 947-6045
NPI assigned
Jun 11, 2007
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101015915 MI
Surgery Physician 208600000X 02003347A IN Primary
Surgery Physician 208600000X OS10124 FL

Addresses

Primary practice location

1400 S Lake Park Ave
Ste 200
Hobart, IN 46342-6971

Mailing address

1400 S Lake Park Ave
Ste 200
Hobart, IN 46342-6791
Phone (219) 942-6122

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
I20080730000625 IN Practitioner - General Surgery 6204922610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

1400 S Lake Park Ave
Suite 200 202
Hobart, IN 46342-6790
Phone (219) 947-6124

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)21
Upper gastrointestinal (GI) endoscopy for acid reflux16
Removal of tissue11
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003347AINMDSurgery Physician
5101015915MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Surgery CurrentSince Jul 1, 2012 Accepting new patients

Locations

1400 S Lake Park Ave
Ste 200
Hobart, IN 46342
Phone (219) 947-5606

1400 S Lake Park Ave
Ste 200202
Hobart, IN 46342
Phone (219) 947-6122

1400 S Lake Park Ave
Ste 202
Hobart, IN 46342
Phone (219) 947-6142

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

164 Bracken Pkwy
Hobart, IN 46342
Phone (219) 942-1145

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9239 Broadway
Merrillville, IN 46410
Phone (219) 736-1010

801 MacArthur Blvd
Ste 402
Munster, IN 46321
Phone (219) 513-0233

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3800 Saint Mary Rd
Ste 101
Valparaiso, IN 46383
Phone (219) 738-2081

Interoperability endpoints

  • Direct secure messaging: hdang11141@ssdirect.comhs.org

Organizations & group practices 1

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 3

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1316140882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "STE 200",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426791",
            "telephone_number": "219-942-6122",
            "fax_number": "219-947-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "STE 200",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426971",
            "telephone_number": "219-942-6122",
            "fax_number": "219-947-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "HUNG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101015915",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02003347A",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS10124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.