Individual provider Active NPI

Anas Hakam Safadi, M.D.

  • Cardiovascular Disease Physician
  • Hobart, IN
National Provider Identifier
1457452484
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01060952A Issued in IN
Practice address
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone
(219) 947-6017
Fax
(219) 947-6018
NPI assigned
Sep 25, 2006
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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 01060952A IN Primary

Addresses

Primary practice location

1500 S Lake Park Ave
Hobart, IN 46342-6638

Mailing address

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 947-6017

Other identifiers 1

IdentifierTypeStateIssuer
01060952AOtherINLICENSE

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
I20070517000024 IN Practitioner - Cardiovascular Disease (Cardiology) 5799882353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2004
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)

10215 Broadway
Crown Point, IN 46307-8001

10607 Randolph St
Crown Point, IN 46307-7505

1500 S Lake Park Ave
Hobart, IN 46342-6638

3545 Arbor Blvd
Portage, IN 46368-4298

3800 Saint Mary Rd
Valparaiso, IN 46383-3986

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-4563

9130 Columbia Ave
Munster, IN 46321-2932

9660 Wicker Ave
Saint John, IN 46373-9487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Varicose vein removal1-10
Leg revascularization (restoring blood flow)49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060952AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Dec 1, 2012 Accepting new patients
Methodist Hospitals Cardiographics, LLC Cardiovascular Disease CurrentSince Jul 31, 2011 Accepting new patients
Johnson Memorial Hospital Past Accepting new patients

Locations

10607 Randolph St
Ste A
Crown Point, IN 46307
Phone (219) 226-1529

10607 Randolph St
Ste C
Crown Point, IN 46307
Phone (219) 226-1895

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

1500 S Lake Park Ave
Ste 110
Hobart, IN 46342
Phone (219) 947-6017

8560 Broadway
Merrillville, IN 46410
Phone (219) 793-9248

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

8909 Broadway
Merrillville, IN 46410
Phone (219) 756-6400

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: asafadi15990@ssdirect.comhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1457452484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6017",
            "fax_number": "219-947-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6017",
            "fax_number": "219-947-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFADI",
        "first_name": "ANAS",
        "middle_name": "HAKAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01060952A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01060952A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.