NPIMap

Individual provider Active NPI

Edwin A Udani, MD

  • Family Medicine Physician
  • Schererville, IN
National Provider Identifier
1629065867
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02001229A Issued in IN
Practice address
221 US Highway 41 Ste 1
Schererville, IN 46375-1277
Phone
(219) 864-3950
Fax
(219) 864-3952
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 02001229A IN Primary

Addresses

Primary practice location

221 US Highway 41 Ste 1
Schererville, IN 46375-1277

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other identifiers 2

IdentifierTypeStateIssuer
100147500MedicaidIN
0090000854OtherILBCBS GROUP NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dudani443@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628000415 IN Practitioner - Otolaryngology 1951346105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

221 US Hwy 41
Suite I
Schererville, IN 46375-1278
Phone (317) 528-4800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001229AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Aug 1, 2011 Accepting new patients
Franciscan Physician Network CurrentSince Aug 1, 2011 Accepting new patients
Franciscan Physician Network Family Medicine Current Accepting new patients
St Margaret Mercy Healthcare Centers Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers Inc Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers Inc Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Family Medicine Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients

Locations

35682 Eagle Way
Chicago, IL 60678

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

10860 Maple Ln
Saint John, IN 46373
Phone (219) 365-7000

221 US Highway 41
Ste I
Schererville, IN 46375
Phone (219) 864-3950

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: eudani443@direct.franciscanalliance.org
  • Direct secure messaging: dudani443@direct.franciscanalliance.org

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 10

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1629065867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 US HIGHWAY 41 STE 1",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751277",
            "telephone_number": "219-864-3950",
            "fax_number": "219-864-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDANI",
        "first_name": "EDWIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001229A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100147500",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0090000854",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dudani443@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "221 US Highway 41",
            "address_2": "Suite #1",
            "city": "Schererville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463751277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

Verify at the official NPI Registry.