Individual provider Active NPI

Alfred J. Schlorke, D.O.

  • Family Medicine Physician
  • Nappanee, IN
National Provider Identifier
1912979444
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02002193A Issued in IN
Practice address
1953 Waterfall Dr Ste a
Nappanee, IN 46550-8961
Phone
(574) 773-4101
Fax
(574) 773-5483
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02002193A IN Primary

Addresses

Primary practice location

1953 Waterfall Dr Ste a
Nappanee, IN 46550-8961

Mailing address

1953 Waterfall Dr Ste a
Nappanee, IN 46550-8961
Phone (574) 773-4101

Other identifiers 1

IdentifierTypeStateIssuer
200263560MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alfred.schlorke@goshenhealthdirect.com Health Information Exchange (HIE)

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
I20040218000739 IN Practitioner - Family Practice 2365337359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

1953 Waterfall Dr
A
Nappanee, IN 46550-8961
Phone (574) 773-4101

2824 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 535-1700

2832 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 537-0219

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients
St. Joseph Health System, LLC Past Accepting new patients
Redimed Dekalb LLC Past Accepting new patients

Locations

1953 Waterfall Dr
#A
Nappanee, IN 46550
Phone (574) 773-4101

1953 Waterfall Dr
Ste A
Nappanee, IN 46550
Phone (574) 773-4101

Interoperability endpoints

  • Direct secure messaging: alfred.schlorke@goshenhealthdirect.com

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.

Hospital & facility affiliations 1

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1912979444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 WATERFALL DR STE A",
            "city": "NAPPANEE",
            "state": "IN",
            "postal_code": "465508961",
            "telephone_number": "574-773-4101",
            "fax_number": "574-773-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 WATERFALL DR STE A",
            "city": "NAPPANEE",
            "state": "IN",
            "postal_code": "465508961",
            "telephone_number": "574-773-4101",
            "fax_number": "574-773-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLORKE",
        "first_name": "ALFRED",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002193A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263560",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alfred.schlorke@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1953 Waterfall Dr Ste A",
            "city": "Nappanee",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465508961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nappanee, IN

Sources for this page

Verify at the official NPI Registry.