Individual provider Active NPI

Sandra Mary Wischmeyer

  • Surgery Physician
  • Michigan City, IN
National Provider Identifier
1902179088
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02005417A Issued in IN
Practice address
1507 Wabash St Ste 400D
Michigan City, IN 46360-4361
Phone
(219) 861-8828
Fax
(219) 868-8827
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 02005417A IN Primary

Addresses

Primary practice location

1507 Wabash St Ste 400D
Michigan City, IN 46360-4361

Mailing address

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

Other practice location 1

2202 LaPorte Ave Ste C
Valparaiso, IN 46383-5936
Phone (219) 947-1910

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
I20180821003546 IN Practitioner - General Surgery 2860787017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Surgical Associates PCGroup PAC ID 2163415621, 16 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

8865 W 400 N
Suite 125
Michigan City, IN 46360-9193
Phone (219) 878-9488

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Surgical Associates PC Surgery CurrentSince Sep 1, 2018 Accepting new patients
Franciscan Physician Network CurrentSince Dec 7, 2019 Accepting new patients
The Methodist Hospitals, Inc. Surgery CurrentSince Sep 1, 2018 Accepting new patients
Franciscan Physician Network CurrentSince Dec 7, 2019 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Sep 1, 2018 Accepting new patients
Healthpoint Wellness LLC Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

1212 N Broad St
Griffith, IN 46319
Phone (219) 838-1270

7895 Grand Blvd
Hobart, IN 46342
Phone (219) 947-1910

309 W Johnson Rd
Ste E
La Porte, IN 46350
Phone (219) 379-5559

119 E 89th Ave
Merrillville, IN 46410
Phone (219) 736-1344

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Ste C
Merrillville, IN 46410
Phone (219) 738-3550

101 E 87th Ave
Ste 420
Merrillville, IN 46410
Phone (219) 769-2041

101 E 89th Ave
Ste 430
Merrillville, IN 46410

8865 W 400 N
Ste 125
Michigan City, IN 46360
Phone (219) 878-9488

1507 Wabash St
Ste 400D
Michigan City, IN 46360
Phone (219) 861-8828

3500 Franciscan Way
Ste 3A
Michigan City, IN 46360
Phone (219) 861-8828

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

2590 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 246-2338

2202 Laporte Ave
Ste C
Valparaiso, IN 46383
Phone (219) 488-0154

2590 Morthland Dr
Valparaiso, IN 46385
Phone (219) 531-0200

Interoperability endpoints

  • Direct secure messaging: swischmeyer83382@direct.franciscanalliance.org

Organizations & group practices 6

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": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1902179088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-947-1910",
            "fax_number": "219-947-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WABASH ST STE 400D",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604361",
            "telephone_number": "219-861-8828",
            "fax_number": "219-868-8827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 LaPorte Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463835936",
            "country_code": "US",
            "telephone_number": "219-947-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISCHMEYER",
        "first_name": "SANDRA",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02005417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.