Duneland Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

DUNELAND NEPHROLOGY PC

Practice address

3100 Village Point
Suite 102
Chesterton, IN 46304-9689

Phone

(219) 395-1046

Fax

(219) 395-1570

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Judy Mason

Title

Project Manager

Phone

(219) 531-2675

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: doctors@dunelandnephrology.gwaydirect.com

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Chin-Theodorou, MD

  • Internal Medicine Physician
  • Chesterton, IN
  • NPI 1326439241
  Medicare reassignment Care Compare group NPD
• John Patrick Brady, M.D.

  • Nephrology Physician
  • Chesterton, IN
  • NPI 1356347546
  Medicare reassignment Care Compare group
• Sumedha Dhar, M.D

  • Internal Medicine Physician
  • Chesterton, IN
  • NPI 1811204266
  Medicare reassignment Care Compare group
• James Arthur Hasbargen, M.D.

  • Nephrology Physician
  • Chesterton, IN
  • NPI 1538165907
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1598709685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 VILLAGE PT",
            "address_2": "SUITE 102",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049689",
            "telephone_number": "219-395-1046",
            "fax_number": "219-395-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 VILLAGE POINT",
            "address_2": "SUITE 102",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049689",
            "telephone_number": "219-395-1046",
            "fax_number": "219-395-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNELAND NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "219-531-2675"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1788579",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200825410",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000485800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007014704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF2542",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doctors@dunelandnephrology.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3100 Village Point",
            "address_2": "Suite 102",
            "city": "Chesterton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463049689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Duesing
• Mary C Dugan-Marx, MSW, LCSW
• Dune Grass Surgical Suites, LLC
• Duneland Counseling Center, Inc.
• Duneland Family Eyecare LLC
• Duneland School Corporation
• Duneland Speech Solutions LLC
• Melissa M Dvorscak, NP
• DVT Solutions, Inc.
• E & S Medical Supply Co

• Nephrology Physician in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.