Active NPI
Henry M Andoh, M.D
- Infectious Disease Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 01042402A
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110108462 | Other | IL | RAILROAD MEDICARE |
| 0004542266 | Other | IL | AETNA |
| 0001606805 | Other | IL | BLUE CROSS BLUE SHIELD |
| 200009960B | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36-083429 | IL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Infectious Diseases Associates LLC | Infectious Disease | Current | 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
- 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.
-
- Infectious Disease Physician
- Merrillville, IN
- NPI 1932693884
-
- Neurology Physician
- Hazel Crest, IL
- NPI 1891984019
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.