Individual provider Active NPI

Austin Todd Clarey, MD

  • Vascular & Interventional Radiology Physician
  • Munster, IN
National Provider Identifier
1457846750
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01093791A Issued in IN
Practice address
10010 Calumet Ave
Munster, IN 46321-4055
Phone
(219) 924-3450
Fax
(219) 924-1640
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 4301116083 MI
Vascular & Interventional Radiology Physician 2085R0204X 125.073470 IL
Vascular & Interventional Radiology Physician 2085R0204X 01093791A IN Primary

Addresses

Primary practice location

10010 Calumet Ave
Munster, IN 46321-4055

Mailing address

10010 Calumet Ave
Munster, IN 46321-4055
Phone (219) 924-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240801002228 IN Practitioner - Diagnostic Radiology 5294079570 Reassigns benefits to 2 organizations
I20250911001252 MI Practitioner - Diagnostic Radiology 5294079570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munster Radiology Group PCGroup PAC ID 1951299940, 26 clinicians
Powers Health Diagnostic Group LLCGroup PAC ID 8820573280, 25 clinicians

Practice addresses (Care Compare)

10020 Don S Powers Dr
Munster, IN 46321-4054
Phone (219) 836-4599

10191 Broadway
Crown Point, IN 46307-8801
Phone (219) 661-6100

10215 Broadway
Crown Point, IN 46307-8001
Phone (219) 703-4550

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

1545 W US Hwy 30
Schererville, IN 46375-1562
Phone (219) 836-3477

300 W 61St Ave
Hobart, IN 46342-6490
Phone (219) 947-6435

3535 Hammer Dr
Apt 17102
Grand Rapids, MI 49525-9577
Phone (989) 293-0336

3545 Arbor Blvd
Portage, IN 46368-4298
Phone (219) 947-6729

3800 Saint Mary Rd
Valparaiso, IN 46383-3986
Phone (219) 286-3700

4321 Fir St
East Chicago, IN 46312-3049
Phone (219) 392-1700

7651 Harvest Dr
Schererville, IN 46375-3476
Phone (219) 322-5723

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1166

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.073470ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munster Radiology Group PC Vascular & Interventional Radiology CurrentSince Jul 1, 2024 Accepting new patients
Nephrology Specialists, PC. PastSince Jun 30, 2024 Accepting new patients

Locations

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

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

10010 Calumet Ave
Munster, IN 46321

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 4

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1457846750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-924-3450",
            "fax_number": "219-924-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-924-3450",
            "fax_number": "219-924-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAREY",
        "first_name": "AUSTIN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301116083",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "125.073470",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01093791A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.