NPIMap

Organization Active NPI

Indiana Surgical Associates PC

  • Surgery Physician
  • Hobart, IN
National Provider Identifier
1679616296
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Tom Nicholas Galouzis, MDNPI 1013050772
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

12800 Mississippi Pkwy
Ste 101
Crown Point, IN 46307
Phone (219) 662-5585

7895 Grand Blvd
Hobart, IN 46342
Phone (219) 947-1910

101 E 87th Ave
Ste 420
Merrillville, IN 46410
Phone (219) 769-2041

2202 Laporte Ave
Ste C
Valparaiso, IN 46383
Phone (219) 488-0154

2590 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 246-2338

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

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": [],
    "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.

Verify at the official NPI Registry.