1. Home
  2. Directory
  3. Indiana
  4. Hammond
  5. Clinic Center
  6. NPI Profile

NORTHSHORE HAMMOND HEALTH CENTER
NPI 1023440526
Clinic/Center - Federally Qualified Health Center (FQHC) in Hammond, IN

Active since August 07, 2013CLIA Certified · 13 labs
1828 165TH ST STE A, HAMMOND, IN 46320(219) 763-8112(219) 844-9006 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2021, Sep 22, 2020, Nov 29, 2017 and 1 more (4 updates tracked since 2017).

About Northshore Hammond Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSHORE HAMMOND HEALTH CENTER (NPI 1023440526) is a healthcare organization registered as a federally qualified health center (fqhc) in Hammond, Indiana and active in the NPI registry since August 2013. The organization holds 13 active CLIA laboratory certificates and lists David Hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023440526
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHSHORE HEALTH CENTERS, INC
Location Address1828 165TH ST STE AHammond, IN 46320-2823
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-5380
Phone(219) 763-8112
Fax(219) 844-9006
Organization SubpartNo
Authorized OfficialDavid HallCeo · (219) 763-8112
Enumeration DateAugust 7, 2013
Last NPPES UpdateFebruary 3, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1023440526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
1828 165TH ST STE A, Hammond, IN 46320
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthshore Hammond Health Center

Other Identifiers 3

Other151912IN · Medicare Part A Ptan
Medicaid200331170HIN
Other191360IN · Medicare Part B Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northshore Hammond Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

134

Medicare enrollment records show 134 clinicians reassign Medicare billing to Northshore Hammond Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 30 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner36
Pediatric Medicine20
Obstetrics/Gynecology16
Psychiatry12
Family Practice10
Optometry8
Certified Nurse Midwife (CNM)7
Chiropractic7
9 other specialties18

Nearest to this location (20)

See all 134
Mayory Roberts, APRN
Nurse Practitioner
NPI 1447896568
1828 165TH ST STE A
Hammond, IN 46320
(219) 763-8112
✔ PECOS✔ Accepts MedicareSame address
Vernedia Slaughter, ANP
Nurse Practitioner
NPI 1932483906
1828 165TH ST STE A
Hammond, IN 46320
(219) 763-8112
✔ PECOSSame address
Matthew Trinidad, DC
Chiropractic
NPI 1487328316
1828 165TH ST STE A
Hammond, IN 46320
(219) 763-8112
✔ Accepts MedicareSame address
Alicia Buchanan-Jones, WHNP-BC
Nurse Practitioner
NPI 1932945227
1828 165TH ST
Hammond, IN 46320
(219) 763-8112
✔ PECOS0.1 mi
Soyong Lee, M.D.
Family Practice
NPI 1770158677
1828 165TH ST
Hammond, IN 46320
(219) 763-8112
✔ PECOS✔ Accepts Medicare0.1 mi
Sheena Wilkins, FNP
Nurse Practitioner
NPI 1356102800
1828 165TH ST
Hammond, IN 46320
(219) 763-8112
✔ PECOS✔ Accepts Medicare0.1 mi
Claudette Dandridge, M.D.
Pediatric Medicine
NPI 1821101957
6920 INDIANAPOLIS BLVD
Hammond, IN 46324
(219) 763-8112
✔ PECOS0.6 mi
Vanessa Foster, M.D.
Obstetrics/Gynecology
NPI 1033101753
6920 INDIANAPOLIS BLVD
Hammond, IN 46324
(219) 763-8112
✔ PECOS✔ Accepts Medicare0.6 mi
Queen Marsh, MD
Obstetrics/Gynecology
NPI 1659463859
6920 INDIANAPOLIS BOULEVARD
Hammond, IN 46324
(219) 763-8112
✔ PECOS0.6 mi
Aditya Shah, M.D.
Family Practice
NPI 1578958278
6920 INDIANAPOLIS BLVD
Hammond, IN 46324
(219) 763-8112
✔ PECOS✔ Accepts Medicare0.6 mi
Bianca Rafidia Vargas, NP
Nurse Practitioner
NPI 1437760519
5818 COLUMBIA AVE
Hammond, IN 46320
(219) 237-5160
✔ PECOS✔ Accepts Medicare1.2 mi
Narayan Prabhakar, MD
Family Practice
NPI 1275616955
7905 CALUMET AVE
Munster, IN 46321
(219) 836-3049
✔ PECOS✔ Accepts Medicare2.2 mi
George Tsoutsouris, D.P.M.
Podiatry
NPI 1952309759
9105A INDIANAPOLIS BLVD SUITE 102
Highland, IN 46322
(219) 923-9090
✔ PECOS3.3 mi
Marquita Henson, PMHNP-BC
Nurse Practitioner
NPI 1194567594
4321 FIR ST
East Chicago, IN 46312
(219) 392-7466
✔ PECOS✔ Accepts Medicare3.3 mi
Scott Siegall, MD
Psychiatry
NPI 1720199029
9250 COLUMBIA AVE STE 2E
Munster, IN 46321
(219) 595-0043
✔ PECOS✔ Accepts Medicare3.6 mi
Christine Kazlauskas, M.D.
Pediatric Medicine
NPI 1134650013
1600 167TH ST STE 500
Calumet City, IL 60409
(708) 915-3100
✔ PECOS4.0 mi
Sanker Jayachandran, MD
Psychiatry
NPI 1679515035
1650 45TH ST STE C
Munster, IN 46321
(219) 934-6410
✔ PECOS✔ Accepts Medicare4.1 mi
Vijay Jayachandran, MD
Psychiatry
NPI 1114969573
1650 45TH ST STE 2A&2B
Munster, IN 46321
(219) 934-6410
✔ PECOS✔ Accepts Medicare4.1 mi
Nisha Rao, M.D
Psychiatry
NPI 1689092389
720 45TH ST
Munster, IN 46321
(219) 852-2513
✔ PECOS4.1 mi
Christelle Deery
Nurse Practitioner
NPI 1235079583
10108 4TH PL
Highland, IN 46322
(847) 850-9141
✔ PECOS4.7 mi
See all 134 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 13

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2070327

Northshore Health Center · Hammond, IN
Active · expires Feb 22, 2027
CLIA Number15D2070327
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorLeonard Ostrowski Jr
Laboratory Phone(219) 763-8112
Laboratory LocationNorthshore Health Center1828 165th St, Hammond, IN 46320
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2307884

Northshore Health Centers - Oga · Valparaiso, IN
Active · expires Jul 16, 2028
CLIA Number15D2307884
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorAndi Arnautovic
Laboratory Phone(219) 763-8112
Laboratory LocationNorthshore Health Centers - Oga85 E Us-6 Frontage Rd #330, Valparaiso, IN 46383
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2303004

Northshore Health Centers - River Forest High School · Hobart, IN
Active · expires Apr 17, 2028
CLIA Number15D2303004
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorAndi Arnautovic
Laboratory Phone(219) 763-8112
Laboratory LocationNorthshore Health Centers - River Forest High School3300 Indiana St, Hobart, IN 46342
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2300219

Northshore Health Centers - Gary · Gary, IN
Active · expires Mar 5, 2028
CLIA Number15D2300219
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorAndi Arnavtovic
Laboratory Phone(219) 763-8112
Laboratory LocationNorthshore Health Centers - Gary2200 Grant St, Gary, IN 46404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2241649

Northshore Health Centers - Griffith Teen Clinic · Griffith, IN
Active · expires Oct 31, 2027
CLIA Number15D2241649
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorAndi Arnautovic
Laboratory Phone(219) 763-8112
Laboratory LocationNorthshore Health Centers - Griffith Teen Clinic600 N Wiggs St, Griffith, IN 46319
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2241441

Northshore Health Centers - Demotte · Demotte, IN
Active · expires Oct 27, 2027
CLIA Number15D2241441
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorAndi Arnautovic
Laboratory Phone(219) 763-8112
Laboratory LocationNorthshore Health Centers - Demotte200 3rd Court SE, Demotte, IN 46310
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Health Centers, Inc's NPI number?

The NPI number for Northshore Health Centers, Inc is 1023440526. It was assigned to this organization in the NPPES registry on August 7, 2013. The provider is doing business as Northshore Hammond Health Center.

Where is Northshore Health Centers, Inc located?

Northshore Health Centers, Inc is located at 1828 165th St Ste A, Hammond, IN 46320. The listed phone number is (219) 763-8112.

What is Northshore Health Centers, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Northshore Health Centers, Inc enrolled in Medicare?

Yes. Northshore Health Centers, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northshore Health Centers, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 134 clinicians in 17 Medicare specialties reassign their Medicare billing to Northshore Health Centers, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (36), Pediatric Medicine (20) and Obstetrics/Gynecology (16). Of these, 3 practice at this address and 30 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northshore Health Centers, Inc hold CLIA laboratory certificates?

Yes. 13 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northshore Health Centers, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Northshore Health Centers, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northshore Health Centers, Inc was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.