Joshua M Allen, PA-C
Individual provider Active NPI Surgical Physician Assistant · Chesterton, IN
NPI 1912345166 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1912345166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- Practice address
- 601 Gateway Blvd N
Chesterton, IN 46304-9658 - Phone
- (219) 921-1444
- Fax
- (219) 921-5303
- NPI assigned
- Jun 10, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeshore Bone and Joint Institute, PC
Practice addresses (Care Compare)
2501 Cumberland Dr
Valparaiso, IN 46383-2503
Phone (219) 921-1444
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444
Hospital & facility affiliations
- Northwest Health - Porter
- Northwest Health-la Porte
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.8 of 100
- Quality
- 81.02
- Improvement activities
- 40
- Cost
- 74.12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130909000264 | IN | Practitioner - Physician Assistant | 5991948168 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Bone & Joint Institute, PC | Current |
Accepting new patients | |
| Lakeshore Bone & Joint Institute, PC | Current | Accepting new patients |
Locations
601 Gateway Blvd N
Chesterton, IN 46304
Phone (219) 921-1401
3691 Willowcreek Rd
Portage, IN 46368
Phone (219) 759-4380
3691 Willowcreek Rd
Ste 100
Portage, IN 46368
Phone (219) 759-4380
833 W Lincoln Hwy
Ste 110E
Schererville, IN 46375
Phone (219) 427-0700
2501 Cumberland Dr
Valparaiso, IN 46383
Phone (219) 462-4481
Interoperability endpoints
- jallen198908@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Yes |
Addresses
Primary practice location
601 Gateway Blvd N
Chesterton, IN 46304-9658
Mailing address
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444
Other practice location 1
2501 Cumberland Dr
Valparaiso, IN 46383-2503
Phone (219) 921-1444
Other practice location 2
3691 Willowcreek Rd
Portage, IN 46368-5080
Phone (219) 921-1444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473320005 | Other | IN | MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | j.allen@lbji.exscribedirect.com | Direct | |
| Direct Messaging Address | j.allen@lbji.exscribedirect.com | Direct | |
| Direct Messaging Address | j.allen@lbji.exscribedirect.com | Direct |
Other providers in Chesterton, IN
- Aguayo Therapeutic Services LLC
- Elizabeth A Aguayo
- Michael Ahearn
- Ahmad R. Sprouse
- Kennedy Albertsman
- Allied Therapeutic LLC
- Bilal Alnahass
- Amana Integrative Medicine LLC
- Juana Maria Ambriz de Williams
- Amedisys Indiana, L.L.C.
All providers in Chesterton, IN · Surgical Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.