Individual provider Active NPI

Henry M Andoh, M.D

  • Infectious Disease Physician
  • Munster, IN
National Provider Identifier
1578637245
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01042402A Issued in IN
Practice address
757 45TH Ave
Ste. 201
Munster, IN 46321-2911
Phone
(219) 934-2461
Fax
(219) 934-2478
NPI assigned
Nov 17, 2006
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 36-083429 IL
Infectious Disease Physician 207RI0200X 01042402A IN Primary

Addresses

Primary practice location

757 45TH Ave
Ste. 201
Munster, IN 46321-2911

Mailing address

761 45TH Ave
Ste. 103
Munster, IN 46321-2893
Phone (219) 922-3002

Other identifiers 4

IdentifierTypeStateIssuer
110108462OtherILRAILROAD MEDICARE
0004542266OtherILAETNA
0001606805OtherILBLUE CROSS BLUE SHIELD
200009960BMedicaidIN

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
I20100306000075 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 6901941541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

751 E 81St Ave
Merrillville, IN 46410-5538
Phone (219) 525-5330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36-083429ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Infectious Diseases Associates LLC Infectious Disease CurrentSince Jun 14, 2018 Accepting new patients
Amarjit S Bhasin MD LTD Past Accepting new patients

Locations

751 E 81st Ave
Merrillville, IN 46410
Phone (219) 738-6600

Interoperability endpoints

  • Direct secure messaging: handoh63982@direct.franciscanalliance.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.

Hospital & facility affiliations 1

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1578637245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 45TH AVE",
            "address_2": "STE. 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212893",
            "telephone_number": "219-922-3002",
            "fax_number": "219-922-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 45TH AVE",
            "address_2": "STE. 201",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212911",
            "telephone_number": "219-934-2461",
            "fax_number": "219-934-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOH",
        "first_name": "HENRY",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "36-083429",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01042402A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110108462",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004542266",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001606805",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009960B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.