Active NPI
Joel Eric Chasan, M.D.
- Ophthalmology Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01082893A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300031137 | Medicaid | IN | |
| 036150656 | Medicaid | IL |
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
- Ophthalmology
- Education
- Emory University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0058598 | CO | MD | Ophthalmology Physician |
| 036150656 | IL | MD | Ophthalmology Physician |
| 01082893A | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Associates, PC | Ophthalmology | Current | Accepting new patients |
| Retina Vitreous Associates, PC | Ophthalmology | Current | Accepting new patients |
| North Indiana Retina LLC | Ophthalmology | Past | 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
- 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.
-
- Ophthalmology Physician
- Merrillville, IN
- NPI 1245233014
-
- Ophthalmology Physician
- Oak Lawn, IL
- NPI 1194711655
-
- Ophthalmology Physician
- Mishawaka, IN
- NPI 1316822216
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.