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Deactivated NPI 1265672935 Deactivated / Inactive NPI Male Practitioner

Dr. Raymond James Doherty , MD

General Practice • Merrillville, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Raymond Doherty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2009
NPI Deactivation Date December 18, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Doherty, MD was a registered General Practice practicing in Merrillville, IN. Throughout an active medical career spanning 16 years, Dr. Doherty provided care at the practice location at 984 W 66TH AVE until profile deactivation on 2025-12-18.

Practice Location & Contact Primary Location

Practice Address

984 W 66th Ave

Merrillville, IN 464103210

Telephone 2197692345

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Merrillville, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 57.0 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Merrillville, IN (190 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IN 01016733B

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 18, 2025

Record deactivated on December 18, 2025

NPI Profile Active February 20, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2009

Registered at 984 W 66TH AVE, MERRILLVILLE, IN 464103210 (Tel: 2197692345)

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Updated Business Mailing Address February 20, 2009

Registered at 984 W 66TH AVE, MERRILLVILLE, IN 464103210 (Tel: 2197692345)

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Provider Name / Credentials Updated February 20, 2009

Recorded as RAYMOND DOHERTY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2009

General Practice (License #01016733B in IN)

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Initial NPI Registration & Enumeration February 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265672935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2009
Last Update: February 20, 2009
Deactivation Date: December 18, 2025

Mailing Address

984 W 66th Ave

Merrillville, IN 464103210

Phone: 2197692345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.