NPIMap

Organization Active NPI

Informe Healthcare Specialists, LLC

  • Hospitalist Physician
  • Greenfield, IN
National Provider Identifier
1467051730
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
INFORME HEALTHCARE SPECIALISTS, LLC
Practice address
745 N Swope St
Greenfield, IN 46140-1332
Phone
(317) 462-9221
Fax
(888) 724-0875
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Jodi Czernejeski
Title
Ceo
Phone
(414) 242-5468

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

745 N Swope St
Greenfield, IN 46140-1332

Mailing address

2741 W Layton Ave Ste 106
Milwaukee, WI 53221-2600
Phone (414) 242-5468

Other practice location 1

709 Walnut St
Chattanooga, TN 37402-1916
Phone (423) 266-7721

Other practice location 2

502 Roseport Rd
Elwood, KS 66024-7803
Phone (913) 348-4453 ext. 84453

Other practice location 3

8800 Virginia Pl
Merrillville, IN 46410-7109
Phone (219) 736-1310

Other practice location 4

609 Tanglewood Ln
Mishawaka, IN 46545-2625
Phone (574) 277-2500

Other practice location 5

2860 Churchman Ave
Indianapolis, IN 46203-4619
Phone (317) 787-3451

Other practice location 6

811 E 12th St
Mishawaka, IN 46544-5408
Phone (574) 249-1917

Other practice location 7

1110 Kempler Drive
Green Bay, WI 54311
Phone (920) 304-9695 ext. 84700

Other practice location 8

7145 E 21st St
Indianapolis, IN 46219-1715
Phone (317) 356-0977

Other practice location 9

2002 W 86th St
Indianapolis, IN 46260-1903
Phone (317) 872-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KS, WI, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20201210002193 TN Part B Supplier - Clinic/Group Practice 3870905128 Receives reassigned benefits from 10 practitioners
Practice locations: Chattanooga, TN; Knoxville, TN
O20250131001378 KS Part B Supplier - Clinic/Group Practice 3870905128 Receives reassigned benefits from 2 practitioners
Practice locations: Elwood, KS
O20260323003287 WI Part B Supplier - Clinic/Group Practice 3870905128 Receives reassigned benefits from 6 practitioners
Practice locations: Green Bay, WI
O20260429002011 IL Part B Supplier - Clinic/Group Practice 3870905128 Receives reassigned benefits from 2 practitioners
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory

Locations

1330 Willow Way
Cleveland, WI 53015
Phone (303) 845-0223

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1467051730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 W LAYTON AVE STE 106",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212600",
            "telephone_number": "414-242-5468",
            "fax_number": "888-724-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N SWOPE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401332",
            "telephone_number": "317-462-9221",
            "fax_number": "888-724-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374021916",
            "country_code": "US",
            "telephone_number": "423-266-7721",
            "fax_number": "888-724-0875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Roseport Rd",
            "address_purpose": "LOCATION",
            "city": "Elwood",
            "state": "KS",
            "postal_code": "660247803",
            "country_code": "US",
            "telephone_number": "913-348-4453 x84453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 Virginia Pl",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107109",
            "country_code": "US",
            "telephone_number": "219-736-1310",
            "fax_number": "888-724-0875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Tanglewood Ln",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465452625",
            "country_code": "US",
            "telephone_number": "574-277-2500",
            "fax_number": "888-724-0875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2860 Churchman Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462034619",
            "country_code": "US",
            "telephone_number": "317-787-3451",
            "fax_number": "888-724-0875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465445408",
            "country_code": "US",
            "telephone_number": "574-249-1917",
            "fax_number": "888-724-0875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Kempler Drive",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "54311",
            "country_code": "US",
            "telephone_number": "920-304-9695 x84700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7145 E 21st St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462191715",
            "country_code": "US",
            "telephone_number": "317-356-0977",
            "fax_number": "888-724-0875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601903",
            "country_code": "US",
            "telephone_number": "317-872-8811",
            "fax_number": "888-724-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFORME HEALTHCARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "CZERNEJESKI",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-242-5468"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.