Active NPI
Louis Teodori, D.O.
- Neurology Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 02002924
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Neurology | Current | Accepting new patients |
| Aceso Visiting Physicians and Geriatric Care Inc. | Current | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
Neurology
-
dba Kristine Teodori
- Geriatric Medicine (Internal Medicine) Physician
- Crown Point, IN
- NPI 1982010690
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.