NPIMap

Individual provider Active NPI

Christopher John McIntire, DO

  • Family Medicine Physician
  • Hammond, IN
National Provider Identifier
1356333082
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02001515A Issued in IN
Practice address
3831 Hohman Ave
Hammond, IN 46327-1160
Phone
(219) 931-1960
Fax
(219) 931-1235
NPI assigned
Aug 18, 2005
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02001515A IN Primary

Addresses

Primary practice location

3831 Hohman Ave
Hammond, IN 46327-1160

Mailing address

PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107

Other identifiers 2

IdentifierTypeStateIssuer
0090000854OtherILBCBS GROUP NUMBER
200051040MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000234 IN Practitioner - Hospice/Palliative CarePractitioner - Family Practice 7416991401 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001515AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers Inc Family Medicine Past Accepting new patients
Hospice of the Calumet Area, Inc. Family Medicine PastSince Apr 10, 2024 Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers Inc Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers Family Medicine Past Accepting new patients

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1356333082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463110800",
            "telephone_number": "219-864-2107",
            "fax_number": "219-864-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463271160",
            "telephone_number": "219-931-1960",
            "fax_number": "219-931-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001515A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0090000854",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.