Active NPI
Daniel Homuth
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 02006591A
- Practice address
- 355 W 16TH St Ste 4100
Indianapolis, IN 46202-2394 - Phone
- (317) 963-7171
- NPI assigned
- Mar 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 02006591A | IN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
355 W 16TH St Ste 4100
Indianapolis, IN 46202-2394
Mailing address
355 W 16TH St Ste 4100
Indianapolis, IN 46202-2394
Phone (317) 963-7171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Nova Southeastern College of Osteo Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Navarre PL
Suite 5510
South Bend, IN 46601-1172
Phone (574) 647-7742
1010 W State Rd
Suite 2
La Porte, IN 46350-5465
Phone (574) 258-1100
1020 High Rd
Bremen, IN 46506-1093
Phone (574) 546-2211
1115 Professional Dr
Goshen, IN 46526-3800
Phone (574) 364-4850
1135 Professional Dr
Goshen, IN 46526-3800
Phone (574) 364-4000
12765 Brick Rd
Granger, IN 46530-6818
Phone (574) 258-1100
200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 535-2693
303 S Nappanee St
Elkhart Clinic
Elkhart, IN 46514-2066
Phone (574) 296-3365
600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 294-2621
615 N Michigan St
Memorial Hospital
South Bend, IN 46601-1033
Phone (574) 647-1000
6901 N Main St
Memorial Lighthouse Imaging Center
Granger, IN 46530-8022
Phone (574) 647-2900
701 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 278-1145
Hospital & facility affiliations
- Memorial Hospital of South Bend
- Elkhart General Hospital
- Goshen Hospital
- Three Rivers Health
- Community Hospital of Bremen Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Beacon Health, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Beacon Health, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
1020 High Rd
#O
Bremen, IN 46506
Phone (574) 284-3086
303 S Nappanee St
Elkhart, IN 46514
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
1115 Professional Dr
Goshen, IN 46526
Phone (574) 364-4850
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
6901 N Main St
Granger, IN 46530
Phone (574) 647-2900
102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
620 W Edison Rd
Ste 110
Mishawaka, IN 46545
Phone 5742581100 ext. 239
100 Navarre Pl
South Bend, IN 46601
Phone (574) 235-1010
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
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.
-
- Diagnostic Radiology Physician
- Mishawaka, IN
- NPI 1912796699
-
- Diagnostic Radiology Physician
- Goshen, IN
- NPI 1952982217
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bremen, IN
- NPI 1568417004
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Three Rivers, MI
- NPI 1568739423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1578094082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W 16TH ST STE 4100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022394",
"telephone_number": "317-963-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W 16TH ST STE 4100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022394",
"telephone_number": "317-963-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMUTH",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-26",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "02006591A",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.