TED GEORGE ODY ACHUFUSI JR. MD
NPI 1053809392
Internal Medicine - Gastroenterology in Munster, IN

Q: What is Ted George Achufusi's NPI number?

The NPI number for Ted George Achufusi is 1053809392. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Q: What is Ted George Achufusi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment

9410 CALUMET AVE STE 401, MUNSTER, IN 46321(219) 922-4900(219) 836-9922 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Jun 12, 2024, Jun 3, 2024 and 1 more (4 updates tracked since 2018).

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About Ted George Ody Achufusi Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TED GEORGE ODY ACHUFUSI JR. MD (NPI 1053809392) is an individual gastroenterology provider in Munster, Indiana, licensed in Indiana (01093494A) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053809392

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameTED GEORGE ODY ACHUFUSI JR.Credential: MD

Location Address9410 CALUMET AVE STE 401Munster, IN 46321-0018

Mailing Address6738 Blackstone CirPortage, IN 46368-2693

Phone(219) 922-4900

Fax(219) 836-9922

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 23, 2018

Last NPPES UpdateApril 9, 20254 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1053809392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IN · 01093494A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9410 CALUMET AVE STE 401, Munster, IN 46321

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ted George Ody Achufusi Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486990314

PECOS Enrollment IDI20250421000463

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150002

Location600 Grant StGary, IN 46402 · Lake County

Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150090

Location24 Joliet StDyer, IN 46311 · Lake County

Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150165

Location701 Superior AveMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMMAR HASSAN D.O.

Internal Medicine (Gastroenterology)