Individual provider Active NPI

Ambrosio Aranas Dosado, M.D.

  • Family Medicine Physician
  • East Chicago, IN
National Provider Identifier
1588780779
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044052A Issued in IN
Practice address
3847 Euclid Ave
East Chicago, IN 46312-2332
Phone
(219) 398-0700
NPI assigned
Mar 21, 2007
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 01044052A IN Primary

Addresses

Primary practice location

3847 Euclid Ave
East Chicago, IN 46312-2332

Mailing address

3048 Lakeside Dr
Highland, IN 46322-3470
Phone (219) 922-1581

Other practice location 1

5521 W Lincoln Hwy Ste 1A
Crown Point, IN 46307-1098
Phone (219) 769-1362

Other identifiers 2

IdentifierTypeStateIssuer
000000296072OtherINBCBS
200057300MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc PastSince Feb 17, 2018 Accepting new patients
Okolocha Medical Pain & Weight Clinic Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adosado7614@themethodisthospitals.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1588780779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 LAKESIDE DR",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223470",
            "telephone_number": "219-922-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 EUCLID AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122332",
            "telephone_number": "219-398-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5521 W Lincoln Hwy Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071098",
            "country_code": "US",
            "telephone_number": "219-769-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSADO",
        "first_name": "AMBROSIO",
        "middle_name": "ARANAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044052A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000296072",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200057300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.