AUGUSTINE I IZAH (MD) – Family Medicine Physician, NPI 1760476303

AUGUSTINE I IZAH (MD) is a healthcare provider. based in Merrillville, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01042994 (IN). The NPI Number for AUGUSTINE I IZAH (MD) is 1760476303

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
AUGUSTINE I IZAH (MD)
NPI
1760476303
Phone
(219) 884-4450
Address
5857 BROADWAY
Enumeration Date
9 September 2005
Last Update Date
17 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198844450
Graduation Year
1990 (36 years ago)
PAC ID
0547296576
Professional Enrollment ID
I20050712000617
Address ID
IN464102666ME5857XBROA200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

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Provider Addresses for AUGUSTINE I IZAH (MD)

  • 5857, Broadway, Merrillville, Ross Township, Lake County, Indiana, 46410, United States

    MERRILLVILLE, IN 464102666

    Phone: (219) 884-4450

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($115).

Total Amount

$208

General + Research + Ownership

Payments

2

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050712000617IFamily PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes718223$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes56780$0
36415Insertion of needle into vein for collection of blood sample141108$0
99238Hospital discharge day management, 30 minutes or less9754$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9357$0
View full utilization report →

Insurance plans in this area (ZIP 46410)

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Provider's Procedures

AUGUSTINE I IZAH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIN81002Urinalysis, manual test2221

Reviews

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Frequently asked questions

Can I use this page to confirm AUGUSTINE I IZAH (MD)'s NPI?
Yes. AUGUSTINE I IZAH (MD) is listed with NPI 1760476303 in the public NPI dataset.
Is AUGUSTINE I IZAH (MD) listed as active for patients and plans?
The listing shows AUGUSTINE I IZAH (MD) as active in the NPI system.
What is AUGUSTINE I IZAH (MD)'s specialty?
The listing groups AUGUSTINE I IZAH (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect AUGUSTINE I IZAH (MD) on a map?
Expect Merrillville, Indiana as a primary anchor for AUGUSTINE I IZAH (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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