Individual provider Active NPI

George F Abu-Aita, M.D.

  • Neurology Physician
  • Hobart, IN
National Provider Identifier
1710997929
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01038300A Issued in IN
Practice address
1600 S Lake Park Ave Ste 1102
Hobart, IN 46342-6641
Phone
(219) 736-6955
Fax
(219) 736-6080
NPI assigned
Aug 9, 2006
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01038300A IN Primary
Clinical Neurophysiology Physician 2084N0600X 01038300 IN

Addresses

Primary practice location

1600 S Lake Park Ave Ste 1102
Hobart, IN 46342-6641

Mailing address

1600 S Lake Park Ave Ste 1102
Hobart, IN 46342-6641
Phone (219) 736-6955

Other practice location 1

200 E 89th Ave
Suite 3B
Merrillville, IN 46410-7318
Phone (219) 736-6955

Other identifiers 1

IdentifierTypeStateIssuer
100340500BMedicaidIN

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
I20031201000801 IN Practitioner - Neurology 6002711215 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038300INMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Neurology CurrentSince Oct 1, 2012 Accepting new patients
George F Abu-Aita MD PC Clinical Neurophysiology CurrentSince Jan 1, 1994 Accepting new patients

Locations

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1600 S Lake Park Ave
Ste 1102
Hobart, IN 46342
Phone (219) 736-6955

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

200 E 89th Ave
Ste 3B
Merrillville, IN 46410
Phone (219) 736-6955

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1710997929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S LAKE PARK AVE STE 1102",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426641",
            "telephone_number": "219-736-6955",
            "fax_number": "219-736-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S LAKE PARK AVE STE 1102",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426641",
            "telephone_number": "219-736-6955",
            "fax_number": "219-736-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E 89th Ave",
            "address_2": "Suite 3B",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107318",
            "country_code": "US",
            "telephone_number": "219-736-6955",
            "fax_number": "219-736-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABU-AITA",
        "first_name": "GEORGE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01038300A",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "IN",
            "license": "01038300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340500B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.