Individual provider Active NPI

Cynthia M Hoess, M.D.

  • Pediatrics Physician
  • Gary, IN
National Provider Identifier
1801863972
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-095770 Issued in IL
Practice address
1021 W 5TH Ave
Gary, IN 46402-1703
Phone
(219) 880-1190
Fax
(219) 880-0784
NPI assigned
Mar 7, 2006
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-095770 IL Primary

Addresses

Primary practice location

1021 W 5TH Ave
Gary, IN 46402-1703

Mailing address

1021 W 5TH Ave
Gary, IN 46402-1703
Phone (219) 880-1190

Other identifiers 1

IdentifierTypeStateIssuer
200914770MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choess9389@themethodisthospitals.direct-ci.com Direct Porter-Starke Services Inc.

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
I20091019000394 IN Practitioner - Pediatric Medicine 2567509854 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-095770ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter-Starke Services Inc. CurrentSince Mar 17, 2020 Accepting new patients
Porter-Starke Services Inc. CurrentSince Mar 17, 2020 Accepting new patients
Community Healthnet Inc CurrentSince Sep 10, 2009 Accepting new patients
Community Healthnet Inc CurrentSince Sep 10, 2009 Accepting new patients
Porter-Starke Services, Inc. Past Accepting new patients

Locations

1021 W 5th Ave
Gary, IN 46402

3229 Broadway
Ste 104
Gary, IN 46409
Phone (219) 487-5800

5927 Columbia Ave
Hammond, IN 46320
Phone (219) 321-9385

704 S State Road 2
Hebron, IN 46341
Phone (219) 806-3011

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

Interoperability endpoints

  • Direct secure messaging: choess9389@themethodisthospitals.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1801863972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021703",
            "telephone_number": "219-880-1190",
            "fax_number": "219-880-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021703",
            "telephone_number": "219-880-1190",
            "fax_number": "219-880-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOESS",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-095770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200914770",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choess9389@themethodisthospitals.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Porter-Starke Services Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "704 S State Road 2",
            "city": "Hebron",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463418801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.