Individual provider Active NPI

Genri Pinkhasov, M.D.

  • Urology Physician
  • Valparaiso, IN
National Provider Identifier
1639370893
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01079045A Issued in IN
Practice address
85 E US Highway 6 Ste 230
Valparaiso, IN 46383-8948
Phone
(219) 983-6230
Fax
(219) 983-6030
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 265289 NY
Urology Physician 208800000X 01079045A IN Primary

Addresses

Primary practice location

85 E US Highway 6 Ste 230
Valparaiso, IN 46383-8948

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-3616

Other practice location 1

3500 Franciscan Way Ste 300
Michigan City, IN 46360-0033
Phone (219) 877-1880

Other practice location 2

3630 Willowcreek Rd Ste 4
Portage, IN 46368-5075
Phone (219) 983-6230

Other practice location 3

535 Plandome Rd
Manhasset, NY 11030-1974
Phone (516) 627-6188

Other practice location 4

85 E US Highway 6
Valparaiso, IN 46383-8947
Phone (219) 983-6230

Other identifiers 2

IdentifierTypeStateIssuer
CG0053OtherRAILROAD MEDICARE
252000092OtherININDIANA MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address genri.pinkhasov.1@2340.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018000453 IN Practitioner - Urology 3870749997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urologic Surgery of Nwi PCGroup PAC ID 0042746125, 2 clinicians

Practice addresses (Care Compare)

1101 Glendale Blvd
Suite 107a
Valparaiso, IN 46383-3775
Phone (219) 286-6888

Hospital & facility affiliations

  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
  • Northwest Health - Starke Hospital, Knox, IN, CCN 150102

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01079045AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Surgery of Nwi, PC Urology CurrentSince Jan 1, 2025 Accepting new patients
Urologic Surgery of Nwi, PC Current Accepting new patients
Community Care Network Inc Urology PastSince Aug 1, 2026 Accepting new patients
Porter Physician Services LLC PastSince Nov 1, 2017 Accepting new patients

Locations

1101 Glendale Blvd
Ste 107A
Valparaiso, IN 46383
Phone (219) 286-6888

85 E US Highway 6
Ste 230
Valparaiso, IN 46383
Phone (219) 983-6230

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: genri.pinkhasov.1@32086.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1639370893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-3616",
            "fax_number": "219-364-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6 STE 230",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838948",
            "telephone_number": "219-983-6230",
            "fax_number": "219-983-6030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Franciscan Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463600033",
            "country_code": "US",
            "telephone_number": "219-877-1880",
            "fax_number": "219-877-1661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 Willowcreek Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685075",
            "country_code": "US",
            "telephone_number": "219-983-6230",
            "fax_number": "219-983-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Plandome Rd",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110301974",
            "country_code": "US",
            "telephone_number": "516-627-6188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 E US Highway 6",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463838947",
            "country_code": "US",
            "telephone_number": "219-983-6230",
            "fax_number": "219-983-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKHASOV",
        "first_name": "GENRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "265289",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01079045A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG0053",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICARE",
            "identifier": "252000092",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "genri.pinkhasov.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "85 E US Highway 6 Ste 230",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463838948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.