Augustine I Izah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01042994 Issued in IN

Practice address

5857 Broadway
Merrillville, IN 46410-2666

Phone

(219) 884-4450

NPI assigned

Sep 9, 2005

Last updated

Nov 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Home Care Services Home health agency, Merrillville, IN, CCN 157536
• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aizah4872@themethodisthospitals.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Medicine Associates, LLC

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1659577146
  Medicare reassignment NPD Authorized official
• David E Ross, Jr, MD,PC

  dba Primary Care Consultants

  • Family Medicine Physician
  • Gary, IN
  • NPI 1407985971
  NPD (past)
• Sterling Emergency Services of Indiana, Inc

  • Nurse Practitioner
  • Gary, IN
  • NPI 1568420206
  NPD (past)
• Sterling Emergency Services of Indiana, Inc

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1629036363
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation
• The Methodist Hospitals, Inc.

  dba Methodist Home Care Services

  • Home Health Agency
  • Merrillville, IN
  • NPI 1760474670
  Care Compare affiliation

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1760476303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5857 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102666",
            "telephone_number": "219-884-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102666",
            "telephone_number": "219-884-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZAH",
        "first_name": "AUGUSTINE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01042994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200044580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nader Ismail, DO
• Amariah Israel, RN
• Jacquelyn Ivankovic, PHARMD
• Radosveta Georgieva Odiseeva Ivanova Nesch, M.D.
• Renee Ivy
• J K Kansal MD PC
• J.K.Kansal MD PC
• Priasha Jachna, MED, BCBA
• Sha-Ron Jackson-Johnson, MD
• Danielle Jackson, APRN

• Family Medicine Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.

Verify at the official NPI Registry.