Individual provider Active NPI

Joel Eric Chasan, M.D.

  • Ophthalmology Physician
  • Merrillville, IN
National Provider Identifier
1730522830
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01082893A Issued in IN
Practice address
8679 Connecticut Street
Suite a
Merrillville, IN 46410-6383
Phone
(219) 769-9022
Fax
(219) 649-2995
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DR.0058598 CO
Ophthalmology Physician 207W00000X 036150656 IL
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 01082893A IN Primary

Addresses

Primary practice location

8679 Connecticut Street
Suite a
Merrillville, IN 46410-6383

Mailing address

8679 Connecticut Street
Suite a
Merrillville, IN 46410-6383
Phone (219) 769-9022

Other practice location 1

49 Jesse Hill Jr Dr SE
Suite 470A
Atlanta, GA 30303-3049
Phone (404) 778-0263

Other identifiers 2

IdentifierTypeStateIssuer
300031137MedicaidIN
036150656MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191017000654 IN Practitioner - OphthalmologyPractitioner - Other (Physician) 6800166265 Reassigns benefits to 1 organization
I20191018000134 IL Practitioner - OphthalmologyPractitioner - Other (Physician) 6800166265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates, PCGroup PAC ID 1951438076, 6 clinicians
Retina Vitreous Associates, PCGroup PAC ID 5294882957, 6 clinicians

Practice addresses (Care Compare)

2000 Frankln St
Suite a
Michigan City, MI 46360-4535
Phone (219) 872-4445

4400 N Calumet Ave
Suite 100
Valparaiso, IN 46383-1606
Phone (219) 769-9022

4930 W 95TH St
Oak Lawn, IL 60453-2504
Phone (708) 424-8855

8679 Connecticut St
Suite a
Merrillville, IN 46410-6383
Phone (219) 769-9022

8679 Connecticut St a
Merrillville, IN 46410-6383

931 Ridge Rd
Suite H
Munster, IN 46321-1756
Phone (219) 836-4110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0058598COMDOphthalmology Physician
036150656ILMDOphthalmology Physician
01082893AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates, PC Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Retina Vitreous Associates, PC Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
North Indiana Retina LLC Ophthalmology PastSince Feb 9, 2020 Accepting new patients

Locations

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

963 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 725-8425

963 N 129th Infantry Dr
Ste 130N
Joliet, IL 60435
Phone (815) 744-1812

4930 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-8855

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

15255 S 94th Ave
Ste 202E
Orland Park, IL 60462
Phone (708) 364-1700

8679 Connecticut St
Ste A
Merrillville, IN 46410
Phone (219) 769-9022

2000 Franklin St
Ste A
Michigan City, IN 46360
Phone (219) 872-4445

931 Ridge Rd
Ste H
Munster, IN 46321
Phone (219) 836-4110

4400 N Calumet Ave
Ste 100
Valparaiso, IN 46383
Phone (219) 242-8221

Interoperability endpoints

  • Direct secure messaging: jchasan492209@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.

Hospital & facility affiliations 4

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1730522830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8679 CONNECTICUT STREET",
            "address_2": "SUITE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106383",
            "telephone_number": "219-769-9022",
            "fax_number": "219-649-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8679 CONNECTICUT STREET",
            "address_2": "SUITE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106383",
            "telephone_number": "219-769-9022",
            "fax_number": "219-649-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Jesse Hill Jr Dr SE",
            "address_2": "Suite 470A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033049",
            "country_code": "US",
            "telephone_number": "404-778-0263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASAN",
        "first_name": "JOEL",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0058598",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036150656",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01082893A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300031137",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036150656",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.