Sophia Addy, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Merrillville, IN
NPI 1730610684 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1730610684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 01090844A (IN)
- Practice address
- 8777 Broadway
Merrillville, IN 46410-6693 - Phone
- (219) 738-3536
- Fax
- (219) 769-3243
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Methodist Hospitals Inc
Practice addresses (Care Compare)
8777 Broadway
Merrillville, IN 46410-6693
Phone (219) 738-3854
Hospital & facility affiliations
- Methodist Hospitals Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, AR, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210903001872 | TX | Practitioner - Obstetrics/Gynecology | 9931505641 | Reassigns benefits to 2 organizations |
| I20210908001978 | AR | Practitioner - Obstetrics/Gynecology | 9931505641 | Reassigns benefits to 3 organizations |
| I20240103000388 | IN | Practitioner - Obstetrics/Gynecology | 9931505641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | Current |
Accepting new patients | |
| The Methodist Hospitals, Inc | Current |
Accepting new patients | |
| The Methodist Hospitals, Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Obhg Arkansas West PA | Obstetrics & Gynecology | Current |
Accepting new patients |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
7001 Rogers Ave
Ste 403
Fort Smith, AR 72903
Phone (479) 573-3101
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
27350 Network Pl
Chicago, IL 60673
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
Interoperability endpoints
- saddy177415@themethodisthospitals.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | T2302 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | 01090844A | IN | Yes |
Addresses
Primary practice location
8777 Broadway
Merrillville, IN 46410-6693
Mailing address
8777 Broadway
Merrillville, IN 46410-6693
Phone (197) 383-5362
Other practice location 1
1002 Texas Blvd Ste 501
Texarkana, TX 75501-5117
Phone (903) 794-0888
Other providers in Merrillville, IN
- Davida Adams
- Jennifer Brooke Adams
- Queen Adams
- Addiction and Behavioral Counseling Services, Inc.
- Addiction Substance Abuse Life Solutions, LLC
- Olubunmi Adekugbe
- Michael S. Adeleke
- Adiel Home Health Services, LLC
- Fatai Bolaji Adisa
- Maryam Jameelah Adisa
All providers in Merrillville, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.