ISIDORA L NANTES M.D.
NPI 1609939594
Family Medicine in Merrillville, IN

Active since December 19, 2006PECOS Enrolled
74.63/100
CMS Quality Rating
751 E 81ST AVE, MERRILLVILLE, IN 46410(219) 791-9476(219) 791-9542 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Isidora L Nantes M.d. NPPES

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

ISIDORA L NANTES M.D. (NPI 1609939594) is an individual family medicine provider in Merrillville, Indiana, licensed in Indiana (01044666A) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1609939594
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameISIDORA L NANTESCredential: M.D.
Location Address751 E 81ST AVEMerrillville, IN 46410-5538
Mailing Address751 E 81st AveMerrillville, IN 46410-5538 · (219) 791-9476 · Fax (219) 791-9542
Fax(219) 791-9542
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 19, 2006
Last NPPES UpdateJanuary 24, 2017
NPI 1609939594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01044666A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
751 E 81ST AVE, Merrillville, IN 46410

Other Identifiers 4

Medicare ID-Type Unspecified405160RIN · Provider Medicare Number
Other080100658IN · Railroad Provider Number
Medicare UPING09923IN
Other00000089301IN · Provider Bcbs Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Isidora L Nantes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951599570
PECOS Enrollment IDI20101227000450
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
109 services71 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
50 services41 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.06
Improvement Activities40
Cost62.42

Other Providers at the Same Location NPPES 6

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

Family Medicine
751 E 81ST AVE
MERRILLVILLE, IN 46410
Nurse Practitioner
751 E 81ST AVE
MERRILLVILLE, IN 46410
Family Medicine
751 E 81ST AVE
MERRILLVILLE, IN 46410
Dietitian, Registered
751 E 81ST AVE
MERRILLVILLE, IN 46410
Family Medicine
751 E 81ST AVE
MERRILLVILLE, IN 46410
Internal Medicine (Infectious Disease)
751 E 81ST AVE
MERRILLVILLE, IN 46410

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 Isidora Nantes's NPI number?

The NPI number for Isidora Nantes is 1609939594. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Isidora Nantes located?

Isidora Nantes practices at 751 E 81st Ave, Merrillville, IN 46410. The listed phone number is (219) 791-9476.

What is Isidora Nantes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Isidora Nantes enrolled in Medicare?

Yes. Isidora Nantes is registered in the Medicare PECOS enrollment system.

What insurance does Isidora Nantes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Isidora Nantes 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.

Is Isidora Nantes affiliated with any hospitals?

According to CMS data, Isidora Nantes is affiliated with Methodist Hospitals Inc and St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Isidora Nantes was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.