Individual provider Active NPI

Andrew Daluga, M.D.

  • Emergency Medicine Physician
  • Greenfield, IN
National Provider Identifier
1790103315
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01076063A Issued in IN
Practice address
300 E Boyd Ave Ste 100
Greenfield, IN 46140-2816
Phone
(317) 462-5252
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 01076063A IN
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 01076063A IN Primary

Addresses

Primary practice location

300 E Boyd Ave Ste 100
Greenfield, IN 46140-2816

Mailing address

300 E Boyd Ave Ste 100
Greenfield, IN 46140-2816

Other identifiers 1

IdentifierTypeStateIssuer
151560249OtherMEDICARE IN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.dalugamd.p3@direct.ahni.nextgenshare.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001367 IN Practitioner - Emergency Medicine 3072739960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical University of South Carolina College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816
Phone (317) 462-5252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Removal or shaving of skin growth15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01076063AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
American Health Network of Indiana LLC Multi-Specialty CurrentSince Sep 1, 2017 Accepting new patients
Cep America LLC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
Indiana University Health Blackford Hospital Inc Multi-Specialty CurrentSince Apr 3, 2016 Accepting new patients
Cep America LLC Multi-Specialty Current Accepting new patients
American Health Network of Indiana, LLC Multi-Specialty CurrentSince Sep 1, 2017 Accepting new patients
American Health Network of Indiana, LLC Multi-Specialty Past Accepting new patients
Major Hospital Multi-Specialty Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3926 Solutions Ctr
Chicago, IL 60677

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

300 E Boyd Ave
Ste 100
Greenfield, IN 46140
Phone (317) 208-3866

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: adaluga211430@direct.optum.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1790103315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALUGA",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01076063A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01076063A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IN",
            "identifier": "151560249",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.dalugamd.p3@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "300 E Boyd Ave Ste 100",
            "city": "Greenfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461402816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.