Individual provider Active NPI

Jay S Hwang, M.D.

  • Urology Physician
  • Dyer, IN
National Provider Identifier
1386644268
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01066795 Issued in IN
Practice address
919 Main St Ste 101
Dyer, IN 46311-3717
Phone
(219) 836-7531
Fax
(219) 836-7593
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036.105084 IL
Urology Physician 208800000X 01066795 IN Primary

Addresses

Primary practice location

919 Main St Ste 101
Dyer, IN 46311-3717

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

20201 Crawford Ave Ste 1276
Olympia Fields, IL 60461-1010
Phone (708) 679-2270

Other practice location 2

7905 Calumet Ave
Munster, IN 46321-1215
Phone (219) 836-5800

Other practice location 3

7905 Calumet Ave
Munster, IN 46321-1215
Phone (219) 836-5800

Other identifiers 1

IdentifierTypeStateIssuer
200963960MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhwang64192@Direct.FranciscanAlliance.org Direct

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
I20091102000517 IN Practitioner - Urology 5294768628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

9800 Valparaiso Dr
Munster, IN 46321-4040
Phone (219) 934-9800

Hospital & facility affiliations

  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.105084ILMDUrology Physician
01066795INMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munster Urololgical Associates, LLC Urology Current Accepting new patients
Franciscan Physician Network CurrentSince Feb 1, 2014 Accepting new patients
Community Care Network Inc Urology CurrentSince Mar 1, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Feb 1, 2014 Accepting new patients
Uropartners, LLC Urology Past Accepting new patients
Franciscan Hammond Clinic LLC Past Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

919 Main St
Ste 101
Dyer, IN 46311
Phone (219) 836-7531

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

9800 Valparaiso Dr
Munster, IN 46321
Phone (219) 836-5800

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

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

11355 W 97th Ln
Saint John, IN 46373
Phone (219) 365-5577

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: jhwang64192@direct.franciscanalliance.org

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.

Hospital & facility affiliations 6

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1386644268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MAIN ST STE 101",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113717",
            "telephone_number": "219-836-7531",
            "fax_number": "219-836-7593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20201 Crawford Ave Ste 1276",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "708-679-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7905 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211215",
            "country_code": "US",
            "telephone_number": "219-836-5800",
            "fax_number": "219-836-8073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7905 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211215",
            "country_code": "US",
            "telephone_number": "219-836-5800",
            "fax_number": "219-836-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JAY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036.105084",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01066795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200963960",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhwang64192@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "919 Main St Ste 101",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.