Alaa Atieh
Individual provider Active NPI Gastroenterology Physician · Hammond, IN
NPI 1609290246 · NPPES record last updated Jul 17, 2020
Key facts
- NPI
- 1609290246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 02005187A (IN)
- Practice address
- 5454 Hohman Ave
Hammond, IN 46320-1931 - Phone
- (219) 932-2300
- NPI assigned
- Feb 18, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Network Inc
Practice addresses (Care Compare)
7835 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 945-4499
Hospital & facility affiliations
- St Mary Medical Center Inc
- Community Hospital
- St Catherine Hospital Inc
- Powers Health Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 161 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 233 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171115002098 | IN | Practitioner - Gastroenterology |
8820354434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Internal Medicine | Current |
Accepting new patients |
Locations
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
7835 Grand Blvd
Hobart, IN 46342
Phone (219) 769-2258
1500 S Lake Park Ave
#403
Hobart, IN 46342
Phone (219) 947-6795
1500 S Lake Park Ave
Spc 403
Hobart, IN 46342
Phone (219) 945-5797
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
Interoperability endpoints
- aatieh128313@direct.franciscanalliance.org
- aatieh96404@ssdirect.comhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 02005187A | IN | |
| Hospitalist Physician | 208M00000X | 02005187A | IN | |
| Gastroenterology Physician | 207RG0100X | 02005187A | IN | Yes |
Addresses
Primary practice location
5454 Hohman Ave
Hammond, IN 46320-1931
Mailing address
8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084
Other practice location 1
7835 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-6795
Other practice location 2
10215 Broadway Ste 203
Crown Point, IN 46307-8001
Phone (219) 947-6795
Other providers in Hammond, IN
- Arc Bridges, Inc
- Kehinde Arojojoye
- Kimberly D Arthur
- Athletic and Therapeutic Institute of Naperville, LLC
- Athletic and Therapeutic Institute of Naperville, LLC
- Anthony Avery
- Ganiyu Azeez
- Emily Baer
- Amber Balcerak
- Daniel W Balcerak
All providers in Hammond, IN · Gastroenterology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.