Individual provider Active NPI

Judson Booker Wood, M.D.

  • Orthopaedic Surgery Physician
  • Merrillville, IN
National Provider Identifier
1669429031
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01042172 Issued in IN
Practice address
200 E 89TH Ave
Suite 2C
Merrillville, IN 46410-7318
Phone
(219) 757-7566
Fax
(219) 757-7253
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Howard University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals Inc 131 clinicians

Practice addresses (Care Compare)

101 E 87TH Ave
Methodist Othopedics
Merrillville, IN 46410-7335
Phone (219) 738-6670

Hospital & facility affiliations

  • Methodist Home Care Services Home health agency, Merrillville, IN, CCN 157536
  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050528000007 IN Practitioner - Orthopedic Surgery 4789661224 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042172INMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jan 1, 2010 Accepting new patients
The Methodist Hospitals, Inc Orthopaedic Surgery Past Accepting new patients
Illiana Surgery & Medical Center, LLC Orthopaedic Surgery Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

200 E 89th Ave
Fl 3
Merrillville, IN 46410

200 E 89th Ave
Ste 3C
Merrillville, IN 46410

200 E 89th Ave
Ste 2C
Merrillville, IN 46410
Phone (219) 757-7566

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME86413 FL
Orthopaedic Surgery Physician 207X00000X 01042172 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

200 E 89TH Ave
Suite 2C
Merrillville, IN 46410-7318

Mailing address

200 E 89TH Ave
Suite 2C
Merrillville, IN 46410-7318
Phone (219) 757-7566

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
272498700MedicaidFL
P00293501OtherFLRR MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2010.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1669429031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 89TH AVE",
            "address_2": "SUITE 2C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107318",
            "telephone_number": "219-757-7566",
            "fax_number": "219-757-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 89TH AVE",
            "address_2": "SUITE 2C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107318",
            "telephone_number": "219-757-7566",
            "fax_number": "219-757-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JUDSON",
        "middle_name": "BOOKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME86413",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01042172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272498700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00293501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.