Anthony Adjei
Individual provider Active NPI Family Nurse Practitioner · Hobart, IN
NPI 1760139018 · NPPES record last updated Mar 10, 2024
Key facts
- NPI
- 1760139018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209029393 (IL)
- Practice address
- 7733 Eider Ave
Hobart, IN 46342-6871 - Phone
- (773) 814-3380
- NPI assigned
- Mar 7, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MD @ Home Illinois, SC
Practice addresses (Care Compare)
2003 W Fulton St
Suite 303
Chicago, IL 60612-2345
Phone (312) 243-2223
802 E 9TH St
Housecall Physicians of Illinois
Mishawaka, IN 46544-2314
Phone (312) 243-2223
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240327000944 | IL | Practitioner - Nurse Practitioner | 1658718580 | Reassigns benefits to 1 organization |
| I20240405003747 | IN | Practitioner - Nurse Practitioner | 1658718580 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28250766A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Av Transportation Service | Current |
Accepting new patients | |
| MD @ Home Illinois, SC | Current |
Accepting new patients |
Locations
2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223
Interoperability endpoints
- anthony.adjei.1@3342.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28250766A | IN | |
| Family Nurse Practitioner | 363LF0000X | 209029393 | IL | Yes |
Addresses
Primary practice location
7733 Eider Ave
Hobart, IN 46342-6871
Mailing address
7733 Eider Ave
Hobart, IN 46342-6871
Other providers in Hobart, IN
- Accurate Home Health Inc
- Acme Dentistry Hobart LLC
- Sarah Adams
- Schuyler Noelle Adams
- Benjamin O. Adeboye
- Advancd Chiropractic Care LLC
- Advancd Pain and Rehab MD LLC
- Advancd Pain Care MD LLC
- Advance Pain & Rehabmd
- Advance Pain Care MD, PC
All providers in Hobart, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2024. 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.