Individual provider Active NPI

Nancy Fabiola Gamarra Flores, M.D.

  • Internal Medicine Physician
  • Dyer, IN
National Provider Identifier
1710094685
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01087333A Issued in IN
Practice address
919 Main St Ste 102
Dyer, IN 46311-3717
Phone
(219) 934-2492
Fax
(219) 934-2493
NPI assigned
Aug 24, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01087333A IN Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036-099560 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01087333A IN

Addresses

Primary practice location

919 Main St Ste 102
Dyer, IN 46311-3717

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

5500 Hohman Ave Ste 2A
Hammond, IN 46320-1942
Phone (219) 933-2291

Other practice location 2

3229-43 W 47th Pl
Chicago, IL 60632-3011
Phone (773) 254-6044

Other practice location 3

5529 Hohman Ave
Hammond, IN 46320-1936
Phone (219) 933-2291

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
I20220708001857 IN Practitioner - Internal MedicinePractitioner - Endocrinology 3072504497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

5500 Hohman Ave
Suite 2a
Hammond, IN 46320-1942
Phone (219) 852-1505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099560ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Internal Medicine CurrentSince Jun 5, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Jun 5, 2022 Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

919 Main St
Ste 102
Dyer, IN 46311
Phone (219) 934-2492

5500 Hohman Ave
Ste 2A
Hammond, IN 46320
Phone (214) 933-6642

5529 Hohman Ave
Hammond, IN 46320
Phone (219) 853-7100

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1710094685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MAIN ST STE 102",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113717",
            "telephone_number": "219-934-2492",
            "fax_number": "219-934-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Hohman Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201942",
            "country_code": "US",
            "telephone_number": "219-933-2291",
            "fax_number": "219-933-2295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3229-43 W 47th Pl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606323011",
            "country_code": "US",
            "telephone_number": "773-254-6044",
            "fax_number": "773-254-6115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5529 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201936",
            "country_code": "US",
            "telephone_number": "219-933-2291",
            "fax_number": "219-933-2295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMARRA FLORES",
        "first_name": "NANCY",
        "middle_name": "FABIOLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01087333A",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-099560",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01087333A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.