Individual provider Active NPI

Anshuman Das, MD

  • Interventional Cardiology Physician
  • Valparaiso, IN
National Provider Identifier
1518255124
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036135532 Issued in IL
Practice address
85 E US Highway 6 Ste 300
Valparaiso, IN 46383-8948
Phone
(219) 983-8300
Fax
(219) 983-6080
NPI assigned
Jul 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X 01080545A IN
Interventional Cardiology Physician 207RI0011X 036135532 IL Primary
Internal Medicine Physician 207R00000X 125059555 IL
Cardiovascular Disease Physician 207RC0000X 036135532 IL
Cardiovascular Disease Physician 207RC0000X 01080545A IN

Addresses

Primary practice location

85 E US Highway 6 Ste 300
Valparaiso, IN 46383-8948

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-3616

Other practice location 1

2000 Roosevelt Rd Ste 205
Valparaiso, IN 46383-2802
Phone (219) 263-7600

Other practice location 2

3630 Willowcreek Rd Ste 1
Portage, IN 46368-5075
Phone (219) 364-3062

Other practice location 3

1331 State St
LA Porte, IN 46350-3112
Phone (219) 362-1234

Other practice location 4

3777 N Frontage Rd Ste 900
Michigan City, IN 46360-7698
Phone (219) 877-3841

Other practice location 5

12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anshuman.das.1@2340.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180810001500 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810110673 Reassigns benefits to 2 organizations
I20240422002214 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810110673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Chicago, Pritzker School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12251 S 80TH Ave
Suite 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting61
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036135532ILMDInterventional Cardiology Physician
01080545AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Multi-Specialty CurrentSince Aug 20, 2018 Accepting new patients
La Porte Clinic Company LLC CurrentSince Apr 1, 2021 Accepting new patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Feb 7, 2024 Accepting new patients
La Porte Clinic Company LLC Multi-Specialty CurrentSince Apr 1, 2021 Accepting new patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Feb 7, 2024 Accepting new patients
Central Dupage Physician Group Multi-Specialty Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

21202 Owens Rd
Ste 201
Mokena, IL 60448
Phone (779) 334-0010

12251 S 80th Ave
Ste 1520
Palos Heights, IL 60463
Phone (708) 923-3936

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

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

3777 N Frontage Rd
Ste 900
Michigan City, IN 46360
Phone (219) 879-6021

3630 Willowcreek Rd
Ste 1
Portage, IN 46368
Phone (219) 364-3062

85 E US Highway 6
Ste 300
Valparaiso, IN 46383
Phone (219) 983-6300

2000 Roosevelt Rd
Ste 205
Valparaiso, IN 46383
Phone (219) 263-7600

Organizations & group practices 6

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 7

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": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1518255124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-3616",
            "fax_number": "219-983-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6 STE 300",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838948",
            "telephone_number": "219-983-8300",
            "fax_number": "219-983-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Roosevelt Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832802",
            "country_code": "US",
            "telephone_number": "219-263-7600",
            "fax_number": "219-263-7659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 Willowcreek Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685075",
            "country_code": "US",
            "telephone_number": "219-364-3062",
            "fax_number": "219-364-3229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 State St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503112",
            "country_code": "US",
            "telephone_number": "219-362-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3777 N Frontage Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463607698",
            "country_code": "US",
            "telephone_number": "219-877-3841",
            "fax_number": "219-877-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12251 S 80th Ave Ste 1520",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631290",
            "country_code": "US",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "ANSHUMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01080545A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036135532",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125059555",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036135532",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01080545A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anshuman.das.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "85 E US Highway 6 Ste 300",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463838948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.