SOPHIA ADDY MD
NPI 1730610684
Obstetrics & Gynecology in Merrillville, IN
About Sophia Addy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA ADDY MD (NPI 1730610684) is an individual obstetrics & gynecology provider in Merrillville, Indiana, licensed in Indiana (01090844A) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and maintains a secondary practice location in Texarkana.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sophia Addy 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.
Medicare Billing Reassignments
6Medicare enrollment records show Sophia Addy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 201 clinicians in this Medicare group
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 61 clinicians in this Medicare group
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 658 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Obhg Texas Holdings PA
- 998 clinicians in this Medicare group
Odessa, TX 79761
- Reassigned Medicare billing, Arkansas enrollment
- 15 clinicians in this Medicare group
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospitals Inc
Acute Care Hospitals · Gary, INPhysician 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sophia Addy's NPI number?
The NPI number for Sophia Addy is 1730610684. It was assigned to this individual provider in the NPPES registry on March 22, 2017.
Where is Sophia Addy located?
Sophia Addy practices at 8777 Broadway, Merrillville, IN 46410. The listed phone number is (219) 738-3536.
What is Sophia Addy's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Sophia Addy enrolled in Medicare?
Yes. Sophia Addy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sophia Addy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Addy reassigns Medicare benefits to 6 organizations: The Methodist Hospitals, Inc. (Merrillville, IN), Obhg Arkansas West PA (Bentonville, AR), Mercy Clinic Fort Smith Communities (Fort Smith, AR), Obhg Texas Holdings, P.A. (Austin, TX), Permian Premier Health Services Inc (Odessa, TX) and 1 more organization, listed in the Medicare section above. Each 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 Sophia Addy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophia Addy accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 4 other insurers list Sophia Addy 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 Sophia Addy affiliated with any hospitals?
According to CMS data, Sophia Addy is affiliated with Methodist Hospitals Inc.
When was this NPI record last updated?
The NPPES record for Sophia Addy was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sophia Addy, MD · NPI 1730610684
Obstetrics & Gynecology physician in Merrillville, Indiana. Individual provider, active in the CMS NPPES registry since March 22, 2017.
## Identity
- **NPI:** 1730610684 (Entity type: Individual)
- **Enumerated:** March 22, 2017
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 01090844A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8777 BROADWAY, Merrillville, IN 46410-6693
- **Phone:** (219) 738-3536 · **Fax:** (219) 769-3243
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): The Methodist Hospitals, Inc. (NPI 1518295948, Merrillville, IN); Obhg Arkansas West PA (NPI 1518421767, Bentonville, AR); Mercy Clinic Fort Smith Communities (NPI 1902073620, Fort Smith, AR); Obhg Texas Holdings, P.A. (NPI 1083917769, Austin, TX); Permian Premier Health Services Inc (NPI 1285664763, Odessa, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730610684) · Data from the CMS NPPES public registry.