Organization Active NPI

Horizon Medical, LLC

  • Multi-Specialty Clinic/Center
  • Merrillville, IN
National Provider Identifier
1750694204
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HORIZON MEDICAL, LLC
Practice address
370 E 84TH Dr Ste 200
Merrillville, IN 46410-6643
Phone
(219) 836-1096
Fax
(219) 836-1786
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Dr. Osama Ayad, MD, FACPNPI 1427162288
Title
Manager
Phone
(219) 836-1096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

370 E 84TH Dr Ste 200
Merrillville, IN 46410-6643

Mailing address

370 E 84TH Dr Ste 200
Merrillville, IN 46410-6643
Phone (219) 836-1096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000757 IN Part B Supplier - Clinic/Group Practice 0648464966 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory

Locations

370 E 84th Dr
Ste 200
Merrillville, IN 46410
Phone (219) 836-1096

800 MacArthur Blvd
Ste 7
Munster, IN 46321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1750694204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 84TH DR STE 200",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106643",
            "telephone_number": "219-836-1096",
            "fax_number": "219-836-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E 84TH DR STE 200",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106643",
            "telephone_number": "219-836-1096",
            "fax_number": "219-836-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "AYAD",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-836-1096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.