Individual provider Active NPI

Dennis Edward Rademaker, D.O.

  • Allergy & Immunology Physician
  • Munster, IN
National Provider Identifier
1457328411
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
02004046A Issued in IN
Practice address
9800 Valparaiso Dr
Munster, IN 46321-4040
Phone
(219) 934-9800
Fax
(219) 934-9802
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 036062659 IL
Allergy & Immunology Physician 207K00000X 02004046A IN Primary

Addresses

Primary practice location

9800 Valparaiso Dr
Munster, IN 46321-4040

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
036062659MedicaidIL
201125390MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drademaker5807@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
I20130204000394 IN Practitioner - Allergy/Immunology 9830221746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Chicago College of Osteopathy, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 865-5904

1704 Lafayette Rd
Crawfordsville, IN 47933-1071

701 Superior Ave
Munster, IN 46321-4037

761 45TH Ave
Munster, IN 46321-2893
Phone (219) 922-3002

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

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036062659ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Current Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2015 Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2015 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

333 Dixie Hwy
Chicago Hts, IL 60411
Phone (708) 756-0100

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

761 45th St
Ste 108
Munster, IN 46321
Phone (219) 922-5416

761 45th St
Ste 103
Munster, IN 46321
Phone (219) 922-3002

759 45th St
Munster, IN 46321
Phone (219) 836-0296

757 45th St
Ste 201
Munster, IN 46321
Phone (219) 922-5550

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

2001 US Highway 41
Schererville, IN 46375
Phone (219) 365-0970

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

Interoperability endpoints

  • Direct secure messaging: drademaker5807@direct.franciscanalliance.org

Organizations & group practices 3

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 5

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1457328411",
    "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": "9800 VALPARAISO DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214040",
            "telephone_number": "219-934-9800",
            "fax_number": "219-934-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEMAKER",
        "first_name": "DENNIS",
        "middle_name": "EDWARD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036062659",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "02004046A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062659",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201125390",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drademaker5807@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9800 Valparaiso Dr",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.