Individual provider Active NPI

Islam Adel Badawy, DO

  • Interventional Cardiology Physician
  • Crown Point, IN
National Provider Identifier
1922425453
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
02005065A Issued in IN
Practice address
12750 St Francis Dr Ste 320
Crown Point, IN 46307-0264
Phone
(219) 662-0077
Fax
(219) 662-9496
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 02005065A IN
Cardiovascular Disease Physician 207RC0000X 02005065A IN
Interventional Cardiology Physician 207RI0011X 02005065A IN Primary

Addresses

Primary practice location

12750 St Francis Dr Ste 320
Crown Point, IN 46307-0264

Mailing address

1400 S Lake Park Ave Ste 400
Hobart, IN 46342-6791
Phone (219) 942-6166

Other practice location 1

1400 S Lake Park Ave Ste 400
Hobart, IN 46342-6791
Phone (219) 942-6166

Other names 1

  • Islam Adel Baghdady Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ibadawy84220@Direct.FranciscanAlliance.org Direct

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
I20170822001137 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Hospitalist 7012202260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

12750 St Francis Dr
Suite 320
Crown Point, IN 46307-0264
Phone (317) 528-4800

Hospital & facility affiliations

  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40
Leg revascularization (restoring blood flow)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consulting Associates, P.C. Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Center for Vein Restoration in, LLC PastSince Jul 1, 2021 Accepting new patients

Locations

1400 S Lake Park Ave
Ste 400
Hobart, IN 46342
Phone (219) 742-6166

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

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 5

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1922425453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE STE 400",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426791",
            "telephone_number": "219-942-6166",
            "fax_number": "219-942-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 ST FRANCIS DR STE 320",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070264",
            "telephone_number": "219-662-0077",
            "fax_number": "219-662-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Lake Park Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463426791",
            "country_code": "US",
            "telephone_number": "219-942-6166",
            "fax_number": "219-942-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADAWY",
        "first_name": "ISLAM",
        "middle_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "02005065A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02005065A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "02005065A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ibadawy84220@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 S Main St Ste 101",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463073677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ISLAM",
            "last_name": "BAGHDADY",
            "middle_name": "ADEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.