Active NPI
Michael Brody, MD
- Anesthesiology Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01051737A
- Practice address
- 901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321-2901 - Phone
- (219) 836-1600
- Fax
- (219) 513-1127
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01051737A | IN | Primary |
Addresses
Primary practice location
901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321-2901
Mailing address
901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321-2901
Phone (219) 836-7040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000081297 | Other | IN | ANTHEM BCBS |
| 036093177 | Medicaid | IL | |
| 200251390A | Medicaid | IN |
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
- Anesthesiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 703-1443
Hospital & facility affiliations
- Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01051737A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwi Medical Associates , LLC | Anesthesiology | Current | Accepting new patients |
| St Catherine Hospital Inc | Current | Accepting new patients | |
| St Catherine Hospital Inc | Anesthesiology | Current | Accepting new patients |
| St. Catherine Hospital Inc. | Current | Accepting new patients |
Locations
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Munster, IN
- NPI 1760182554
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1396847596
-
- Anesthesiology Physician
- East Chicago, IN
- NPI 1649346537
-
- Community/Retail Pharmacy
- East Chicago, IN
- NPI 1568806057
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1790734713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-836-7040",
"fax_number": "219-513-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-836-1600",
"fax_number": "219-513-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODY",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01051737A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000081297",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093177",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200251390A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.