Active NPI
Abd Noghnogh, MD
- Nephrology Physician
- Munster, IN
National Provider Identifier
1700954336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 01045772
- Practice address
- 8230 Calumet Ave
Munster, IN 46321-1753 - Phone
- (219) 836-5160
- Fax
- (219) 836-5170
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 01045772 | IN | Primary |
Addresses
Primary practice location
8230 Calumet Ave
Munster, IN 46321-1753
Mailing address
PO Box 583
Hammond, IN 46325-0583
Phone (219) 836-5160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200135890C | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
314 Ridge Rd
Munster, IN 46321-1528
Phone (219) 836-9317
4321 Fir St
East Chicago, IN 46312-3049
Phone (219) 392-1700
5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 933-2089
701 Superior Ave
Munster, IN 46321-4037
Phone (219) 554-4540
7214 Calumet Ave
Hammond, IN 46324-2408
Phone (219) 228-4477
8230 Calumet Ave
Munster, IN 46321-1753
PO Box
Suite 583
Hammond, IN 46325-0583
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01045772 | IN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Dialysis-Hammond LLC | Past | Accepting new patients | |
| National Medical Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- anoghnogh64304@direct.franciscanalliance.org
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hammond, IN
- NPI 1396924379
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Okeechobee, FL
- NPI 1801989421
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Griffith, IN
- NPI 1790161636
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hammond, IN
- NPI 1396924379
Dialysis facility
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1700954336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 583",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463250583",
"telephone_number": "219-836-5160",
"fax_number": "219-836-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211753",
"telephone_number": "219-836-5160",
"fax_number": "219-836-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOGHNOGH",
"first_name": "ABD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "01045772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200135890C",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.