TED GEORGE ODY ACHUFUSI, MD — NPI 1053809392 (Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) in MUNSTER, IN)

CMS-1500 Box 24J / 33a • NPI

1053809392

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RG0100X (CMS 10)

Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)

Box 32 Service Location & ZIP+4

9410 CALUMET AVE STE 401, MUNSTER, IN, 46321-0018

✓ 9-Digit EDI 837 ZIP+4 (46321-0018)

Practice Phone & Referral Fax

(219) 922-4900

Fax: (219) 836-9922

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053809392 (TED GEORGE ODY ACHUFUSI, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053809392` (NPI-1 Individual Practitioner)
Provider / Legal Name	TED GEORGE ODY ACHUFUSI, MD
Plain-English Specialty	Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: `207RG0100X` (Internal Medicine, Gastroenterology)
Certifying / Licensing Body	American Board of Internal Medicine — Gastroenterology
Practice Location Address	9410 CALUMET AVE STE 401, MUNSTER, IN, 46321-0018
Practice Telephone / Fax	Tel: (219) 922-4900 \| Fax: (219) 836-9922
Administrative Mailing Address	6738 BLACKSTONE CIR, PORTAGE, IN, 46368-2693
Enumeration & Last Sync	Enumerated: 2018-04-23 \| CMS Record Updated: 2025-04-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9410 CALUMET AVE STE 401, MUNSTER, IN, 46321-0018

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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)

What Does Taxonomy Code 207RG0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 10 (Physician/Gastroenterology) • CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine — Gastroenterology
Clinical Scope: Rectal bleeding, hemorrhoids, persistent acid reflux, difficulty swallowing, jaundice (elevated bilirubin), fatty liver disease, or colon cancer screening.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TED GEORGE ODY ACHUFUSI, MD)

Typical CPT / Diagnostic Procedures:

Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation

Common Therapeutic Classes:

Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
H. pylori Quadruple & Triple Eradication Regimens
Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: N/A \| License: `Verified` \| Primary: Secondary
`207RG0100X` — Internal Medicine, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: IN \| License: `01093494A` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TED GEORGE ODY ACHUFUSI, MD (NPI #1053809392)