Active NPI
Indiana Surgical Associates PC
- Surgery Physician
- Hobart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- INDIANA SURGICAL ASSOCIATES PC
- Practice address
- 7895 Grand Blvd
Hobart, IN 46342-6665 - Phone
- (219) 947-1910
- Fax
- (219) 947-3117
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tom Nicholas Galouzis, MD
- Title
- President
- Phone
- (219) 947-1910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
7895 Grand Blvd
Hobart, IN 46342-6665
Mailing address
7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200059400 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040408000514 | IN | Part B Supplier - Clinic/Group Practice | 2163415621 |
Receives reassigned benefits from 23 practitioners Practice locations: Michigan City, IN; Valparaiso, IN; Merrillville, IN; Hobart, IN; Crown Point, IN; La Porte, IN |
National Provider Directory
National Provider DirectoryLocations
12800 Mississippi Pkwy
Ste C100
Crown Point, IN 46307
Phone (219) 662-5585
12800 Mississippi Pkwy
Ste 101
Crown Point, IN 46307
Phone (219) 662-5585
7895 Grand Blvd
Hobart, IN 46342
Phone (219) 947-1910
309 W Johnson Rd
La Porte, IN 46350
Phone (219) 861-8785
1507 Wabash St
Ste 400D
Michigan City, IN 46360
Phone (219) 861-8828
2202 Laporte Ave
Ste C
Valparaiso, IN 46383
Phone (219) 488-0154
Practitioners & affiliated clinicians
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317168000000",
"number": "1679616296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7895 GRAND BLVD",
"city": "HOBART",
"state": "IN",
"postal_code": "463426665",
"telephone_number": "219-947-1910",
"fax_number": "219-947-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7895 GRAND BLVD",
"city": "HOBART",
"state": "IN",
"postal_code": "463426665",
"telephone_number": "219-947-1910",
"fax_number": "219-947-3117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA SURGICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2011-09-28",
"status": "A",
"authorized_official_last_name": "GALOUZIS",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "NICHOLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-947-1910",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200059400",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.