Individual provider Active NPI

Angela Wheeler, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Chesterton, IN
National Provider Identifier
1932262847
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
01044117 Issued in IN
Practice address
2022 Kelle Dr
Chesterton, IN 46304-8708
Phone
(219) 395-2200
Fax
(219) 983-1837
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 01044117 IN Primary

Addresses

Primary practice location

2022 Kelle Dr
Chesterton, IN 46304-8708

Mailing address

205 Millersprings CT
Franklin, TN 37064-5434
Phone (888) 830-4255

Other identifiers 2

IdentifierTypeStateIssuer
000000203751OtherINPROVIDER BCBS NUMBER
110219044OtherINRAILROAD PROVIDER NUMBER

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
I20100823000750 IN Practitioner - Family PracticePractitioner - Sports Medicine 5597899872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Rutgers New Jersey Medical School, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 E 86TH PL
Merrillville, IN 46410-6258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044117INMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Apr 10, 2017 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Apr 10, 2017 Accepting new patients
Illiana Surgery & Medical Center, LLC Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793

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

3229 Broadway
#161
Gary, IN 46409
Phone (219) 887-7467

251 W 84th Dr
Merrillville, IN 46410
Phone (219) 205-3463

8777 Broadway
Ste D
Merrillville, IN 46410
Phone (219) 738-3536

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

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

751 E 81st Ave
Merrillville, IN 46410
Phone (219) 738-6600

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

Interoperability endpoints

  • Direct secure messaging: awheeler7557@themethodisthospitals.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1932262847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MILLERSPRINGS CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645434",
            "telephone_number": "888-830-4255",
            "fax_number": "615-468-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-395-2200",
            "fax_number": "219-983-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "ANGELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IN",
            "license": "01044117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BCBS NUMBER",
            "identifier": "000000203751",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "110219044",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

Verify at the official NPI Registry.