Active NPI
Angelique D Brown, M.D.
- Family Medicine Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01045570A
- Practice address
- 6111 Harrison St
Suite 331
Merrillville, IN 46410-2969 - Phone
- (219) 887-1340
- Fax
- (219) 887-1518
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01045570A | IN | Primary |
Addresses
Primary practice location
6111 Harrison St
Suite 331
Merrillville, IN 46410-2969
Mailing address
8777 Broadway
Suite 331
Merrillville, IN 46410-6693
Phone (219) 738-3854
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207Q0000X | Other | IN | TAXONOMY CODE |
| 15D0938335 | Other | IN | CLIA # |
| 01045570A | Other | IN | PHYSICIAN'S LICENSE # |
| 200098750B | Medicaid | IN | |
| 01045570B | Other | IN | CONTROLLED SUBSTANCE # |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8777 Broadway
Merrillville, IN 46410-6693
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 56.64
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01045570A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
4844 Broadway
Gary, IN 46408
Phone (219) 884-2400
3229 Broadway
#161
Gary, IN 46409
Phone (219) 887-7467
3229 Broadway
Ste 161
Gary, IN 46409
Phone (219) 887-1340
8777 Broadway
Ste 331
Merrillville, IN 46410
8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151
200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750
8777 Broadway
Ste C
Merrillville, IN 46410
Phone (219) 738-3550
5800 Broadway
Merrillville, IN 46410
Phone (219) 884-9180
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
Interoperability endpoints
- abrown7426@themethodisthospitals.direct-ci.com
Organizations & group practices 2
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.
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
dba The Neuroscience Institute of NWI
- Neurology Physician
- Gary, IN
- NPI 1720290588
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Merrillville, IN
- NPI 1376549410
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1770553166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8777 BROADWAY",
"address_2": "SUITE 331",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106693",
"telephone_number": "219-738-3854",
"fax_number": "219-738-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 HARRISON ST",
"address_2": "SUITE 331",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464102969",
"telephone_number": "219-887-1340",
"fax_number": "219-887-1518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANGELIQUE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01045570A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY CODE",
"identifier": "207Q0000X",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA #",
"identifier": "15D0938335",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S LICENSE #",
"identifier": "01045570A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200098750B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE #",
"identifier": "01045570B",
"state": "IN"
}
],
"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 Mar 7, 2023; 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.