Individual provider Active NPI

Nazmul Huda, MD

  • Interventional Cardiology Physician
  • Elkhart, IN
National Provider Identifier
1609076777
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01073182A Issued in IN
Practice address
303 S Nappanee St Ste a
Elkhart, IN 46514-2066
Phone
(574) 296-3338
Fax
(574) 296-3332
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 01073182A IN Primary

Addresses

Primary practice location

303 S Nappanee St Ste a
Elkhart, IN 46514-2066

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-1610

Other practice location 1

500 Arcade Ave Ste 400
Elkhart, IN 46514-2487
Phone (574) 522-2284

Other practice location 2

2222 Rieth Blvd Ste 104
Goshen, IN 46526-5869
Phone (574) 875-1082

Other identifiers 1

IdentifierTypeStateIssuer
201197470MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MT, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140116000716 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4981786175 Reassigns benefits to 4 organizations
I20210119002145 MT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4981786175 Reassigns benefits to 2 organizations
I20240415002798 KY Practitioner - Interventional Cardiology 4981786175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
State University of New York at Stony Brook, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians

Practice addresses (Care Compare)

104 E Culver Rd
Knox, IN 46534-2241

1331 State St
La Porte, IN 46350-3112

2 Trillium Way
Suite 210
Corbin, KY 40701-8426
Phone (606) 523-3038

303 S Nappanee St a
Elkhart Cardiology
Elkhart, IN 46514-2066
Phone (574) 296-3338

440 Scott Rolen Dr
Jasper, IN 47546-2700
Phone (812) 450-7899

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

6913 N Main St
Granger, IN 46530-8039

Hospital & facility affiliations

  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01073182AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Indiana, LLC CurrentSince Dec 1, 2013 Accepting new patients
La Porte Clinic Company LLC CurrentSince Jul 1, 2023 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Dec 7, 2020 Accepting new patients
Beacon Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
La Porte Clinic Company LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Dec 7, 2020 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Dec 15, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 29, 2024 Accepting new patients
Beacon Medical Group, Inc. CurrentSince Jan 1, 2014 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Dec 15, 2023 Accepting new patients
Beacon Medical Group Inc CurrentSince Jan 1, 2014 Accepting new patients
Privia Medical Group Indiana, LLC Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 29, 2024 Accepting new patients

Locations

25651 County Road 20
Elkhart, IN 46517
Phone (219) 522-1201

303 S Nappanee St
Elkhart, IN 46514

303 S Nappanee St
Ste A
Elkhart, IN 46514
Phone (574) 296-3338

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

4630 Vistula Rd
Mishawaka, IN 46544
Phone (219) 254-7200

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

2 Trillium Way
Ste 210
Corbin, KY 40701
Phone (606) 523-3038

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2900 12th Ave N
Ste 204E
Billings, MT 59101
Phone (406) 237-5001

1233 N 30th St
Ofc
Billings, MT 59101

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Interoperability endpoints

  • Direct secure messaging: eht5696@yourcarecommunity.org
  • Direct secure messaging: nazmulhuda@beacon.allscriptsdirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1609076777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S NAPPANEE ST STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142066",
            "telephone_number": "574-296-3338",
            "fax_number": "574-296-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Arcade Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142487",
            "country_code": "US",
            "telephone_number": "574-522-2284",
            "fax_number": "574-522-3952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Rieth Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265869",
            "country_code": "US",
            "telephone_number": "574-875-1082",
            "fax_number": "574-875-3860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDA",
        "first_name": "NAZMUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01073182A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201197470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.