Individual provider Active NPI

Richard J Gnaedinger, M.D.

  • Anesthesiology Physician
  • La Porte, IN
National Provider Identifier
1487725941
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01049409A Issued in IN
Practice address
1007 Lincolnway
La Porte, IN 46350-3201
Phone
(219) 326-1234
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01049409A IN Primary

Addresses

Primary practice location

1007 Lincolnway
La Porte, IN 46350-3201

Mailing address

800 Lincolnway
Suite 301
La Porte, IN 46350-3438
Phone (219) 324-2229

Other identifiers 3

IdentifierTypeStateIssuer
050066349OtherINRAILROAD
000000185348OtherINANTHEM ID
200194830MedicaidIN

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
I20100623000715 IN Practitioner - Anesthesiology 3072679778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Laporte PC 15 clinicians

Practice addresses (Care Compare)

102 E Culver Rd
Knox, IN 46534-2216
Phone (574) 772-6231

1331 State St
La Porte, IN 46350-3112
Phone (219) 326-1234

Hospital & facility affiliations

  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • Northwest Health - Starke Hospital, Knox, IN, CCN 150102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049409AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter County Anesthesia Associates PC Anesthesiology CurrentSince Aug 20, 2018 Accepting new patients
Anesthesia Associates of Laporte PC Anesthesiology CurrentSince Jun 1, 2010 Accepting new patients
La Porte County Anesthesia Associates LLC Anesthesiology CurrentSince Oct 12, 2018 Accepting new patients

Locations

3111 Village Pt
Chesterton, IN 46304
Phone (219) 983-1401

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

900 I St
Ste 1
Laporte, IN 46350
Phone (216) 228-1600

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

8865 W 400 N
Ste 100
Michigan City, IN 46360
Phone (219) 877-2222

301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

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 2

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1487725941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LINCOLNWAY",
            "address_2": "SUITE 301",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503438",
            "telephone_number": "219-324-2229",
            "fax_number": "219-324-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503201",
            "telephone_number": "219-326-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNAEDINGER",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01049409A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "050066349",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "000000185348",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200194830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.