Individual provider Active NPI

Louis Teodori, D.O.

  • Neurology Physician
  • Merrillville, IN
National Provider Identifier
1487699880
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
02002924 Issued in IN
Practice address
521 E 86TH Aveune
Suite Z
Merrillville, IN 46410
Phone
(219) 769-0777
Fax
(219) 755-0610
NPI assigned
Jun 19, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 02002924 IN Primary

Addresses

Primary practice location

521 E 86TH Aveune
Suite Z
Merrillville, IN 46410

Mailing address

521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6173
Phone (219) 769-0777

Other names 1

  • Louis Thompson Former name

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
I20060131000487 IN Practitioner - Neurology 2466466396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Midwestern University, Chicago College of Osteopathic Med, 1999
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)

3800 Saint Mary Rd
Suite 103
Valparaiso, IN 46383-3986
Phone (219) 464-2123

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Neurology CurrentSince May 1, 2018 Accepting new patients
Aceso Visiting Physicians and Geriatric Care Inc. CurrentSince Jul 1, 2014 Accepting new patients

Locations

300 N Main St
Ste D
Crown Point, IN 46307
Phone (219) 663-4877

1400 S Lake Park Ave
Ste 200202
Hobart, IN 46342
Phone (219) 947-6122

1400 S Lake Park Ave
Ste 405
Hobart, IN 46342
Phone (219) 942-8583

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

3800 Saint Mary Rd
Ste 103
Valparaiso, IN 46383
Phone (219) 464-2123

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lteodori7421@ssdirect.comhs.org

Organizations & group practices 2

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 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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1487699880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E 86TH AVE",
            "address_2": "SUITE Z",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106173",
            "telephone_number": "219-769-0777",
            "fax_number": "219-755-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E 86TH AVEUNE",
            "address_2": "SUITE Z",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-0777",
            "fax_number": "219-755-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEODORI",
        "first_name": "LOUIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "02002924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIS",
            "last_name": "THOMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.