Individual provider Active NPI

Carl Benjamin Toren, M.D.

  • Pediatrics Physician
  • East Chicago, IN
National Provider Identifier
1700827128
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01076387A Issued in IN
Practice address
1313 W Chicago Ave
East Chicago, IN 46312-3316
Phone
(219) 398-9685
Fax
(219) 398-9695
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036071979 IL
Pediatrics Physician 208000000X 01076387A IN Primary

Addresses

Primary practice location

1313 W Chicago Ave
East Chicago, IN 46312-3316

Mailing address

1313 W Chicago Ave
East Chicago, IN 46312-3316
Phone (219) 398-9685

Other identifiers 2

IdentifierTypeStateIssuer
201352420MedicaidIN
036071979MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carl.toren@healthlinc.directbygreenway.com Direct

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
I20160429001199 IN Practitioner - Pediatric Medicine 6103126461 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc CurrentSince Apr 4, 2016 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Healthlinc, Inc. CurrentSince Apr 4, 2016 Accepting new patients

Locations

1313 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-1196

951 Transport Dr
Valparaiso, IN 46383
Phone (219) 464-4100

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

Interoperability endpoints

  • Direct secure messaging: carl.toren@healthlinc.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1700827128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123316",
            "telephone_number": "219-398-9685",
            "fax_number": "219-398-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123316",
            "telephone_number": "219-398-9685",
            "fax_number": "219-398-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOREN",
        "first_name": "CARL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036071979",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01076387A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201352420",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071979",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carl.toren@healthlinc.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1313 W Chicago Ave",
            "city": "East Chicago",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463123316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

Verify at the official NPI Registry.