NPIMap

Individual provider Active NPI

Bryan Waldo, M.D.

  • Nephrology Physician
  • Valparaiso, IN
National Provider Identifier
1982716486
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01064566A Issued in IN
Practice address
2711 Leonard Dr Ste 101
Valparaiso, IN 46383-7121
Phone
(219) 462-6001
Fax
(219) 464-6060
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01064566A IN Primary

Addresses

Primary practice location

2711 Leonard Dr Ste 101
Valparaiso, IN 46383-7121

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 575-5000

Other practice location 1

5615 US Highway 6
Portage, IN 46368-5213
Phone (219) 462-6001

Other practice location 2

6061 Broadway
Merrillville, IN 46410-2619
Phone (219) 884-2640

Other identifiers 1

IdentifierTypeStateIssuer
200889490MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080313000123 IN Practitioner - NephrologyPractitioner - Internal Medicine 7719909456 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Northern Indiana PCGroup PAC ID 8921033440, 64 clinicians

Practice addresses (Care Compare)

2701 Leonard Dr
Suite a
Valparaiso, IN 46383-7121
Phone (219) 464-9800

2711 Leonard Dr
Suite 101
Valparaiso, IN 46383-7121
Phone (219) 462-6001

569 Tyler St
Gary, IN 46402-1829
Phone (260) 885-3300

90 W 86TH Ave
Nephrology Associates of Northern Indiana P
Merrillville, IN 46410-7086
Phone (219) 791-1555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Indiana PC Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
B Waldo MD LLC Internal Medicine CurrentSince Jul 11, 2023 Accepting new patients
In Mind & Body PC Nephrology Current Accepting new patients
Nephrology Associates of Northern Indiana, Inc Nephrology CurrentSince Apr 1, 2020 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Accumark Health LLC Internal Medicine CurrentSince May 5, 2025 Accepting new patients
Nephrology Specialists, PC. Nephrology Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

569 Tyler St
Gary, IN 46402
Phone (260) 885-3300

115 W Main St
Greentown, IN 46936
Phone (765) 627-1005

222 Douglas St
Hammond, IN 46320
Phone (219) 852-6131

7 Sibley St
Hammond, IN 46320
Phone (219) 852-6121

410 W Lagrange Rd
Hanover, IN 47243
Phone (812) 503-5071

3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667

6061 Broadway
Merrillville, IN 46410
Phone (219) 884-2011

90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555

1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211

5615 US Highway 6
Portage, IN 46368
Phone (219) 762-4848

1534 US Highway 41
Schererville, IN 46375
Phone (219) 322-5448

2701 Leonard Dr
#A
Valparaiso, IN 46383
Phone (219) 464-9800

2711 Leonard Dr
#101
Valparaiso, IN 46383
Phone (219) 432-6001

Interoperability endpoints

  • Direct secure messaging: bwaldo41386@direct.acumenmd.com
  • Direct secure messaging: bwaldo82947@direct.franciscanalliance.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 12

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1982716486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-575-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 LEONARD DR STE 101",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837121",
            "telephone_number": "219-462-6001",
            "fax_number": "219-464-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5615 US Highway 6",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685213",
            "country_code": "US",
            "telephone_number": "219-462-6001",
            "fax_number": "219-462-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6061 Broadway",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464102619",
            "country_code": "US",
            "telephone_number": "219-884-2640",
            "fax_number": "219-884-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDO",
        "first_name": "BRYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01064566A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200889490",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.