Individual provider Active NPI

Eric M Woo, D.O.

  • Surgery Physician
  • Crown Point, IN
National Provider Identifier
1992905939
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
002004047A Issued in IN
Practice address
12800 Mississippi Pkwy
Suite C101
Crown Point, IN 46307-6900
Phone
(219) 662-5585
Fax
(219) 662-5586
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 002004047A IN Primary

Addresses

Primary practice location

12800 Mississippi Pkwy
Suite C101
Crown Point, IN 46307-6900

Mailing address

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

Other identifiers 1

IdentifierTypeStateIssuer
201122730MedicaidIN

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
I20121031000346 IN Practitioner - General Surgery 4789778630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Surgical Associates PCGroup PAC ID 2163415621, 16 clinicians

Practice addresses (Care Compare)

12750 Saint Francis Dr
Crown Point, IN 46307-0264
Phone (219) 947-1910

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

Hospital & facility affiliations

  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015

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
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002004047AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Surgical Associates PC Surgery CurrentSince Oct 22, 2012 Accepting new patients
Healthpoint Wellness LLC Past Accepting new patients
The Methodist Hospitals, Inc Past Accepting new patients

Locations

12800 Mississippi Pkwy
Ste C101
Crown Point, IN 46307
Phone (219) 661-0444

12800 Mississippi Pkwy
Ste C100
Crown Point, IN 46307
Phone (219) 662-5585

7895 Grand Blvd
Hobart, IN 46342
Phone (219) 947-1910

309 W Johnson Rd
Ste E
La Porte, IN 46350
Phone (219) 379-5559

101 E 87th Ave
Ste 420
Merrillville, IN 46410
Phone (219) 769-2041

101 E 87th Ave
Ste 430
Merrillville, IN 46410
Phone (219) 738-5617

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

3500 Franciscan Way
Ste 3A
Michigan City, IN 46360
Phone (219) 861-8828

Interoperability endpoints

  • Direct secure messaging: ewoo@f02e9750.micromddirect.com
  • Direct secure messaging: ewoo100600@direct.franciscanalliance.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Park Place Christian CommunityElmhurst, IL, CCN 146155 Skilled nursing facility Corporate Director Apr 1, 2024
Providence Life ServicesHomer Glen, IL, CCN 146178 Skilled nursing facility Corporate Director Apr 1, 2024
Rest Haven Illiana Christian Convalescent HomeHomer Glen, IL, CCN 147559 Home health agency Corporate Director Apr 1, 2024
Providence HospiceHomer Glen, IL, CCN 141609 Hospice Corporate Director Apr 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1992905939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-947-1910",
            "fax_number": "219-947-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 MISSISSIPPI PKWY",
            "address_2": "SUITE C101",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076900",
            "telephone_number": "219-662-5585",
            "fax_number": "219-662-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "002004047A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201122730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.