Individual provider Active NPI

Dewnzar Howard, MD

  • Psychiatry Physician
  • Dyer, IN
National Provider Identifier
1912016759
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01039634 Issued in IN
Practice address
2150 Gettler St Ste 405
Dyer, IN 46311-2380
Phone
(219) 440-7088
Fax
(219) 440-7119
NPI assigned
Aug 29, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 01039634 IN
Psychiatry Physician 2084P0800X 01039634 IN Primary

Addresses

Primary practice location

2150 Gettler St Ste 405
Dyer, IN 46311-2380

Mailing address

2150 Gettler St Ste 405
Dyer, IN 46311-2380
Phone (219) 440-7088

Other identifiers 2

IdentifierTypeStateIssuer
036075636MedicaidIL
100332070EMedicaidIN

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
I20080104000478 IN Practitioner - Psychiatry 1153401088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1110 W 5TH Ave
Gary, IN 46402-1723
Phone (219) 885-4264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039634INMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewater Systems for Balanced Living, Inc CurrentSince Dec 12, 2020 Accepting new patients
Edgewater Systems for Balanced Living, Inc. Current Accepting new patients
Dewnzar Howard MD PastSince Dec 1, 1994 Accepting new patients

Locations

1100 W 6th Ave
Gary, IN 46402
Phone (219) 881-2466

1110 W 5th Ave
Gary, IN 46402
Phone (219) 865-4264

Interoperability endpoints

  • Direct secure messaging: dewnzar.howard.p1@direct.edgewater.nextgenshare.com

Organizations & group practices 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912016759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 GETTLER ST STE 405",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112380",
            "telephone_number": "219-440-7088",
            "fax_number": "219-440-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 GETTLER ST STE 405",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112380",
            "telephone_number": "219-440-7088",
            "fax_number": "219-440-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "DEWNZAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01039634",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01039634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075636",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100332070E",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.