EDGEWATER PRIMARY CARE
NPI 1699225698
Internal Medicine in Merrillville, IN

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: November 01, 2026.

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

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
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

Other Names 1

Doing Business AsEdgewater Primary Care

Secondary Practice Locations 2

Location 11212 N Broad StGriffith, IN 46319-1534 · Phone (219) 838-1270
Location 21100 W 6th AveGary, IN 46402-1711 · Phone (219) 885-4264

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgewater Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Edgewater Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner13
Clinical Social Worker3
Family Practice3
Pediatric Medicine3
Psychiatry3
Internal Medicine2
Obstetrics/Gynecology2
Certified Clinical Nurse Specialist (CNS)1
1 other specialty1

Nearest to this location (20)

See all 31
Nurse Practitioner
NPI 1255717096
5495 BROADWAY
Merrillville, IN 46410
(219) 884-4900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790871341
5495 BROADWAY
Merrillville, IN 46410
(219) 985-5500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1528088689
5825 BROADWAY SUITE A
Merrillville, IN 46410
(219) 884-1400
✔ PECOS0.4 mi
Obstetrics/Gynecology
NPI 1942216478
6091 BROADWAY
Merrillville, IN 46410
(219) 763-8113
✔ PECOS0.8 mi
Family Practice
NPI 1699782318
4900 BROADWAY
Gary, IN 46408
(219) 237-5170
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1306842786
4802 BROADWAY
Gary, IN 46408
(219) 887-4950
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1306224597
3229 BROADWAY AVE. SUITE 205
Gary, IN 46409
(219) 531-3500
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1124396072
1701 BROADWAY
Gary, IN 46407
(219) 949-7540
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1336761576
2100 N MAIN ST STE 304
Crown Point, IN 46307
(574) 546-1900
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1730997784
1000 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS5.7 mi
Clinical Social Worker
NPI 1700344223
1100 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS5.7 mi
Psychiatry
NPI 1912970229
1100 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1013516939
1100 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS✔ Accepts Medicare5.7 mi
Pediatric Medicine
NPI 1942313366
720 W 5TH AVE GARY
Gary, IN 46402
(219) 882-0262
✔ PECOS5.8 mi
Nurse Practitioner
NPI 1598996589
3100 45TH ST
Highland, IN 46322
(219) 922-6099
✔ PECOS✔ Accepts Medicare6.3 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1881724730
426 S LAKE ST
Gary, IN 46403
(219) 939-6070
✔ PECOS✔ Accepts Medicare6.7 mi
Psychiatry
NPI 1912016759
2150 GETTLER ST STE 405
Dyer, IN 46311
(219) 440-7088
✔ PECOS✔ Accepts Medicare9.9 mi
Family Practice
NPI 1134179963
5818 COLUMBIA AVE
Hammond, IN 46320
(219) 237-5160
✔ PECOS11 mi
Nurse Practitioner
NPI 1982142527
1515 FOREST AVE
Calumet City, IL 60409
(708) 743-0365
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1659385128
152 W LINCOLN HWY
Chicago Heights, IL 60411
(708) 754-9687
✔ PECOS16 mi
See all 31 clinicians

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 Edgewater Systems For Balanced Living, Inc.'s NPI number?

The NPI number for Edgewater Systems For Balanced Living, Inc. is 1699225698. It was assigned to this organization in the NPPES registry on October 13, 2016. The provider is doing business as Edgewater Primary Care.

Where is Edgewater Systems For Balanced Living, Inc. located?

Edgewater Systems For Balanced Living, Inc. is located at 5495 Broadway, Merrillville, IN 46410. The listed phone number is (219) 884-4900.

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

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

Is Edgewater Systems For Balanced Living, Inc. enrolled in Medicare?

Yes. Edgewater Systems For Balanced Living, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edgewater Systems For Balanced Living, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 9 Medicare specialties reassign their Medicare billing to Edgewater Systems For Balanced Living, Inc.. 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 (13), Clinical Social Worker (3) and Family Practice (3). Of these, 2 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Edgewater Systems For Balanced Living, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Edgewater Systems For Balanced Living, Inc. 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 Edgewater Systems For Balanced Living, Inc. was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.