NPPES file of Aug 9, 2026

James Praveen Anthony, MD

Pulmonary Disease Physician · Valparaiso, IN

James Praveen Anthony, MD is a pulmonary disease physician with a practice address in Valparaiso, Indiana, and NPI 1639356025, issued on Jan 28, 2008. Check the license (Indiana 01071016A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1639356025
Name
James Praveen Anthony
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License numbers
01071016A IN
036.125048 IL
Self-reported in NPPES; status is on the state search
Practice location
1101 Glendale Blvd, Valparaiso, IN 46383
Phone
(219) 464-9054
Enumerated
Jan 28, 2008
Record last updated
Apr 28, 2026
Fax
(219) 465-1749
Medicare enrollment
Enrolled (PECOS I20120718000912); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1101 Glendale Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Elizabeth Campbell, MDPediatrics Physician1528230133
  2. Douglas Mazurek, M.D.Specialist1033223235
  3. Mitchell Mazurek, MDPhysical Medicine & Rehabilitation Physician1043259328
  4. Subba Nagubadi, MDUrology Physician1417957457
  5. Norma Ramey, M.D.Critical Care Medicine (Internal Medicine) Physician1831332766
  6. Rhondalynn Sears, NPPediatric Nurse Practitioner1760401368

Verify James Praveen Anthony in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Licensing Board of Indiana
    Search for license 01071016A
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.4 times the Medicare Part D claims of the average pulmonary disease physician in 2024

3,415 Medicare Part D claims for 448 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D.

  1. James Anthony3,415
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta534 claims
  2. Albuterol Sulfate Hfa502 claims
  3. Prednisone226 claims
  4. Montelukast Sodium222 claims
  5. Breo Ellipta193 claims
  6. Fluticasone-Salmeterol160 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 88 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $781.03

27 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Anthony$781.03
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Porter Physician Services LLCLa Porte, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Praveen Anthony among 280 pulmonary disease physician records in Indiana

James Praveen Anthony, MD is one of 280 pulmonary disease physician records with a practice address in Indiana. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 61% of them.

  • NPI issued2008 · 61% of these records are older, 32% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 78% of these records are
  • Graduated1998 · median 2000 among the 219 with a school on file
  • Record last updated2026 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Indiana

There are 280 pulmonary disease physician records in Indiana.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Sompop Srisuwananukorn, M.D.Whiting, IN 463941467439828
  2. Gaurav Kumar, M.D.Portage, IN 463681225219462
  3. Baqhar Mohideen, MDPortage, IN 463681780742353
  4. Ritika Singh, MDPortage, IN 463681730677980
  5. Olusegun Apata, M.D.Gary, IN 464041043298961
  6. Brian Dickover, M.D.Michigan City, IN 463601083699904
  7. Amanpreet Kaur, MDMichigan City, IN 463601972894087
  8. Albert Naveed, MDMichigan City, IN 463601578710232

Common questions

What is James Praveen Anthony, MD's NPI number?

James Praveen Anthony, MD's National Provider Identifier (NPI) is 1639356025, issued on Jan 28, 2008. An NPI identifies a provider in billing; it is not a license.

Where is James Praveen Anthony, MD located?

The NPPES record lists a practice address at 1101 Glendale Blvd, Valparaiso, IN, 46383. Phone: (219) 464-9054. Providers update this record themselves, so call before visiting.

How can I verify James Praveen Anthony, MD's license?

NPPES lists Indiana license number 01071016A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Praveen Anthony, MD prescribe under Medicare Part D?

In 2024, James Praveen Anthony, MD had 3,415 Medicare Part D claims for 448 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is James Praveen Anthony, MD's MIPS final score?

The 2023 MIPS final score is 88 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.