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TCA HEALTH INC NFP
NPI 1093404576
Clinic/Center - Federally Qualified Health Center (FQHC) in Hammond, IN

Active since May 02, 2023
5504 HOHMAN AVE, HAMMOND, IN 46320(773) 995-6300(773) 995-7985 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2024, Nov 3, 2023, May 2, 2023 (3 updates tracked since 2023).

About Tca Health Inc Nfp NPPES

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

TCA HEALTH INC NFP (NPI 1093404576) is a healthcare organization registered as a federally qualified health center (fqhc) in Hammond, Indiana and active in the NPI registry since May 2023. The organization lists Veronica Clarke, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093404576
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTCA HEALTH INC NFP
Location Address5504 HOHMAN AVEHammond, IN 46320-1933
Mailing Address1029 E 130th StChicago, IL 60628-6908 · (773) 995-6300
Phone(773) 995-6300
Fax(773) 995-7985
Organization SubpartYes
Authorized OfficialVeronica ClarkeCeo · (773) 995-1940
Enumeration DateMay 2, 2023
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1093404576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
5504 HOHMAN AVE, Hammond, IN 46320
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tca Health Inc Nfp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Tca Health Inc Nfp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jose Lusancarez, M.D.
Internal Medicine
NPI 1609180249
5500 HOHMAN AVE
Hammond, IN 46320
(219) 401-2969
✔ PECOS✔ Accepts MedicareSame address
Tyler Orem, LCSW, CADC
Clinical Social Worker
NPI 1730777400
1029 E 130TH ST
Chicago, IL 60628
(773) 995-6300
✔ PECOS✔ Accepts Medicare4.8 mi
Taletha Brown, APN
Nurse Practitioner
NPI 1689181372
18036 GOTTSCHALK AVE
Homewood, IL 60430
(708) 310-4243
✔ PECOS✔ Accepts Medicare8.2 mi
Germaine Henderson
Nurse Practitioner
NPI 1558714386
1301 E 47TH ST
Chicago, IL 60653
(312) 663-9776
✔ PECOS✔ Accepts Medicare14 mi
Manoj Mathew, M.D.
Family Practice
NPI 1144336009
7301 N LINCOLN AVE
Lincolnwood, IL 60712
(224) 766-7669
✔ PECOS✔ Accepts Medicare30 mi
Chequaleis Sargent, APRN
Nurse Practitioner
NPI 1871007930
111 E WISCONSIN AVE STE 1500
Milwaukee, WI 53202
(414) 361-2700
✔ PECOS✔ Accepts Medicare100 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tca Health Inc Nfp's NPI number?

The NPI number for Tca Health Inc Nfp is 1093404576. It was assigned to this organization in the NPPES registry on May 2, 2023.

Where is Tca Health Inc Nfp located?

Tca Health Inc Nfp is located at 5504 Hohman Ave, Hammond, IN 46320. The listed phone number is (773) 995-6300.

What is Tca Health Inc Nfp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Tca Health Inc Nfp enrolled in Medicare?

Yes. Tca Health Inc Nfp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tca Health Inc Nfp?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Tca Health Inc Nfp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (1) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tca Health Inc Nfp accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Tca Health Inc Nfp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tca Health Inc Nfp was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.