Individual provider Active NPI

William Wallace Forgey, M.D.

  • Family Medicine Physician
  • Merrillville, IN
National Provider Identifier
1508800814
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01026236 Issued in IN
Practice address
109 E 89TH Ave
Merrillville, IN 46410-7184
Phone
(219) 769-6055
Fax
(219) 769-6035
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01026236 IN Primary

Addresses

Primary practice location

109 E 89TH Ave
Merrillville, IN 46410-7184

Mailing address

109 E 89TH Ave
Merrillville, IN 46410-7184
Phone (219) 769-6055

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
I20061101000030 IN Practitioner - General PracticePractitioner - Family Practice 6204833494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Indiana University School of Medicine, 1975
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)

9235 Broadway
Merrillville, IN 46410-7046
Phone (219) 769-6055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01026236INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Family Medicine CurrentSince Dec 18, 2013 Accepting new patients
William W Forgey MD Inc Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

109 E 89th Ave
#One
Merrillville, IN 46410

9235 Broadway
Merrillville, IN 46410
Phone (219) 738-2255

109 E 89th Ave
Merrillville, IN 46410
Phone (219) 736-8627

109 E 89th Ave
Ste 324
Merrillville, IN 46410
Phone (219) 769-6055

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

Interoperability endpoints

  • Direct secure messaging: wforgey7302@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 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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508800814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 89TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107184",
            "telephone_number": "219-769-6055",
            "fax_number": "219-769-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 89TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107184",
            "telephone_number": "219-769-6055",
            "fax_number": "219-769-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGEY",
        "first_name": "WILLIAM",
        "middle_name": "WALLACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01026236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.