EDGEWATER PRIMARY CARE
NPI 1699225698
Internal Medicine in Merrillville, IN

Q: What is Edgewater Systems For Balanced Living, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 13, 2016

5495 BROADWAY, MERRILLVILLE, IN 46410(219) 884-4900(219) 980-7585 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, May 14, 2024, Oct 25, 2016 and 1 more (4 updates tracked since 2016).

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About Edgewater Primary Care NPPES

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

EDGEWATER PRIMARY CARE (NPI 1699225698) is a healthcare organization registered as an internal medicine in Merrillville, Indiana and active in the NPI registry since October 2016. The organization maintains 2 additional practice locations and lists Danita Johnson Hughes, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1699225698

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameEDGEWATER SYSTEMS FOR BALANCED LIVING, INC.

Location Address5495 BROADWAYMerrillville, IN 46410-1647

Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264 · Fax (219) 882-0962

Phone(219) 884-4900

Fax(219) 980-7585

Organization SubpartYes

Authorized OfficialDanita Johnson HughesPresident/ceo · (219) 885-4264

Enumeration DateOctober 13, 2016

Last NPPES UpdateNovember 22, 20244 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1699225698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01033511A

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

5495 BROADWAY, Merrillville, IN 46410

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Other Names 1

Doing Business AsEdgewater Primary Care

Secondary Practice Locations 2

Location 11100 W 6th AveGary, IN 46402-1711 · Phone (219) 885-4264

Location 21212 N Broad StGriffith, IN 46319-1534 · Phone (219) 838-1270

Other Identifiers 1

Medicaid200030490AIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

EDGEWATER SYSTEMS FOR BALANCED LIVING, INC

Clinic/Center (Federally Qualified Health Center (FQHC))