Active NPI
Isidora L Nantes, M.D.
- Family Medicine Physician
- Merrillville, IN
National Provider Identifier
1609939594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01044666A
- Practice address
- 751 E 81St Ave
Merrillville, IN 46410-5538 - Phone
- (219) 791-9476
- Fax
- (219) 791-9542
- NPI assigned
- Dec 19, 2006
- Last updated
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01044666A | IN | Primary |
Addresses
Primary practice location
751 E 81St Ave
Merrillville, IN 46410-5538
Mailing address
751 E 81St Ave
Merrillville, IN 46410-5538
Phone (219) 791-9476
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080100658 | Other | IN | RAILROAD PROVIDER NUMBER |
| 00000089301 | Other | IN | PROVIDER BCBS NUMBER |
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
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
751 E 81St Ave
Merrillville, IN 46410-5538
Hospital & facility affiliations
- Methodist Hospitals Inc
- St Mary Medical Center Inc
- Franciscan Health Crown Point
- Powers Health Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 56.64
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044666A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Health Services | Family Medicine | Past | Accepting new patients |
| Northwest Indiana Nephrology PC | Past | Accepting new patients |
Interoperability endpoints
- inantes7502@themethodisthospitals.direct-ci.com
Organizations & group practices 3
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.
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Nephrology Physician
- Valparaiso, IN
- NPI 1285991885
-
dba Westchester Medical Group
- Family Medicine Physician
- Chesterton, IN
- NPI 1164483590
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- 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": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1609939594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 E 81ST AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105538",
"telephone_number": "219-791-9476",
"fax_number": "219-791-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 E 81ST AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105538",
"telephone_number": "219-791-9476",
"fax_number": "219-791-9542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANTES",
"first_name": "ISIDORA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01044666A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PROVIDER NUMBER",
"identifier": "080100658",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER BCBS NUMBER",
"identifier": "00000089301",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.