OrganizationActive
Edgewater Systems for Balanced Living, Inc.
NPI 1699225698 · Internal Medicine Physician · Merrillville, IN
Provider details
- NPI number
- 1699225698
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Edgewater Systems for Balanced Living, Inc.
- Organization subpart
- Yes
- Authorized official
- Danita Johnson Hughes, President/Ceo(219) 885-4264
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5495 Broadway
Merrillville, IN 46410-1647
Phone: (219) 884-4900
Fax: (219) 980-7585
Street-level locationGet directions
Mailing address
1100 W 6th Ave
Gary, IN 46402-1711
Other names (DBA / former)
- Doing business as
- Edgewater Primary Care
- Doing business as
- Edgewater Primary Care
Additional practice locations (2)
- 1100 W 6th AveGary, IN 46402-1711Phone: (219) 885-4264
- 1212 N Broad StGriffith, IN 46319-1534Phone: (219) 838-1270
Registry dates
- Enumerated
- 2016-10-13
- Last updated
- 2024-11-22
- Certified
- 2024-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.