DR. PAUL J STANISH MD
NPI 1780689984
Surgery in Hobart, IN

Q: What is Paul Stanish's NPI number?

The NPI number for Paul Stanish is 1780689984. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Q: What is Paul Stanish's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Stanish was last updated on April 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment

1400 S LAKE PARK AVE, STE 200, HOBART, IN 46342(219) 947-6122(219) 947-6045 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Paul J Stanish Md NPPES

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

DR. PAUL J STANISH MD (NPI 1780689984) is an individual surgery provider in Hobart, Indiana, licensed in Indiana (01042582) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Indiana University School Of Medicine (1989).

NPPES Registry Identity

NPI1780689984

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PAUL J STANISHCredential: MD

Location Address1400 S LAKE PARK AVE, STE 200Hobart, IN 46342-6791

Mailing Address1400 S Lake Park Ave, Ste 200Hobart, IN 46342-6791 · (219) 947-6122 · Fax (219) 947-6045

Phone(219) 947-6122

Fax(219) 947-6045

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1989

Enumeration DateJune 15, 2005

Last NPPES UpdateApril 25, 2011

✔ NPI 1780689984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IN · 01042582

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1400 S LAKE PARK AVE, Hobart, IN 46342

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Other Identifiers 6

Medicare ID-Type Unspecified874840AIN · Medicare Number

Other000000092005IN · Anthem Provider Number

Medicaid100473240BIN

Medicare UPINF84238IN

Other020037867IN · Rr Mcr Provider #

Other90001166IN · Bc/bs Of Illinois Prov #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul J Stanish 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.

PECOS PAC ID345283099

PECOS Enrollment IDI20050607000384

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

88 services58 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

82 services61 patients

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.

50 services46 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

50 services50 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

43 services43 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.

36 services34 patients

Relocation of arm vein with connection to arm artery for hemodialysis 36821

This procedure involves moving a vein in your arm and connecting it to an artery. This creates a larger, stronger vein that can be used for hemodialysis, a treatment for kidney disease. It helps clean your blood when your kidneys can't.

31 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

14 services14 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.

13 services13 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

12 services12 patients

Insertion of abdominal cavity tube using an endoscope 49324

This procedure involves placing a tube into your abdominal cavity with the aid of an endoscope, a thin, flexible tube with a light and camera. It helps drain fluid or air, administer medication, or aid in diagnosis. It's done under sedation for comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150008

Location4321 Fir StreetEast Chicago, IN 46312 · 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

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46342 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

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier14 claims440 services$5.72 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

3 suppliers11 claims550 services$0.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

TINA CRUM CNM

Advanced Practice Midwife

1400 S LAKE PARK AVE
HOBART, IN 46342

Lake County (219) 942-8620

DR. RICHARD J BROWNE MD

Surgery

1400 S LAKE PARK AVE, STE 200
HOBART, IN 46342

Lake County (219) 947-6122

MRS. HOLLY ELIZABETH RAIMONDI PA-C

Physician Assistant (Surgical)

1400 S LAKE PARK AVE, STE 200
HOBART, IN 46342

Lake County (219) 947-6122

KATHY NOBLES FNP-C

Clinic/Center (Primary Care)

1400 S LAKE PARK AVE, SUITE 405
HOBART, IN 46342

Lake County (219) 945-0090

MRS. KRISTEN NICOLE MCGING FNP-BC

Nurse Practitioner (Family)

1400 S LAKE PARK AVE
HOBART, IN 46342

Lake County (219) 947-6009

DAVID C WILKS MD

Urology

1400 S LAKE PARK AVE, SUITE 105
HOBART, IN 46342

Lake County (219) 942-5599

DR. JASON ODELL HEATON M.D.

Obstetrics & Gynecology

1400 S LAKE PARK AVE, SUITE 405
HOBART, IN 46342

Lake County (219) 942-8583

AMY C BALES MD

Internal Medicine (Cardiovascular Disease)

1400 S LAKE PARK AVE, SUITE 400
HOBART, IN 46342

Lake County (219) 942-6166

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 Paul Stanish's NPI number?

The NPI number for Paul Stanish is 1780689984. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Paul Stanish located?

Paul Stanish practices at 1400 S Lake Park Ave Ste 200, Hobart, IN 46342. The listed phone number is (219) 947-6122.

What is Paul Stanish's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Stanish enrolled in Medicare?

Yes. Paul Stanish 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.

What insurance does Paul Stanish accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Paul Stanish 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 Paul Stanish affiliated with any hospitals?

According to CMS data, Paul Stanish is affiliated with St Catherine Hospital Inc, St Mary Medical Center Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Paul Stanish was last updated on April 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.