Individual provider Active NPI

Vijay Dave, MD

  • Cardiovascular Disease Physician
  • Merrillville, IN
National Provider Identifier
1316933443
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01026051 Issued in IN
Practice address
200 E 86TH PL
Merrillville, IN 46410-6258
Phone
(219) 756-1400
Fax
(219) 756-0876
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01026051 IN Primary

Addresses

Primary practice location

200 E 86TH PL
Merrillville, IN 46410-6258

Mailing address

200 E 86TH PL
Merrillville, IN 46410-6258
Phone (219) 756-1400

Other identifiers 1

IdentifierTypeStateIssuer
100167650MedicaidIN

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
I20041116000369 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921993890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Current Accepting new patients
Methodist Hospitals Cardiographics, LLC Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Apr 30, 2016 Accepting new patients
The Methodist Hospitals, Inc Cardiovascular Disease CurrentSince Apr 30, 2016 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

3229 Broadway
Gary, IN 46409
Phone (219) 326-2324

55 E 86th Ave
Merrillville, IN 46410
Phone 2197691670207

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8895 Broadway
Merrillville, IN 46410
Phone (219) 738-2081

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

751 E 81st Ave
Merrillville, IN 46410
Phone (219) 738-6600

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1316933443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 86TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106258",
            "telephone_number": "219-756-1400",
            "fax_number": "219-756-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 86TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106258",
            "telephone_number": "219-756-1400",
            "fax_number": "219-756-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01026051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100167650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.