1. Home
  2. Directory
  3. Indiana
  4. Valparaiso
  5. Internal Medicine
  6. NPI Profile

JOHN DOUGHERTY
NPI 1053722934
Internal Medicine - Infectious Disease in Valparaiso, IN

Active since May 14, 2014PECOS Enrolled
56 WILLOW ST, VALPARAISO, IN 46383(219) 309-7254 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 26, 2026, Mar 10, 2025, Jan 8, 2025 and 2 more (5 updates tracked since 2017).

About John Dougherty NPPES

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

JOHN DOUGHERTY (NPI 1053722934) is an individual infectious disease provider in Valparaiso, Indiana, licensed in Indiana (01091630A) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Northwestern University Feinberg Medical School (2014).

NPPES Registry Identity

NPI1053722934
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJOHN DOUGHERTY
Location Address56 WILLOW STValparaiso, IN 46383-4223
Mailing Address56 Willow StValparaiso, IN 46383-4223 · (219) 309-7254
Phone(219) 309-7254
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2014
Enumeration DateMay 14, 2014
Last NPPES UpdateJanuary 26, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1053722934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in IN · 01091630A
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
56 WILLOW ST, Valparaiso, IN 46383
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Dougherty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123325297
PECOS Enrollment IDI20240109004280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show John Dougherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alaska Native Tribal Health Consortium
2,894 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662
Guam Memorial Hospital
General Acute Care Hospital
850 GOVERNOR CARLOS CAMACHO ROAD
Oka Tamuning, GU 96913
  • Reassigned Medicare billing, Guam enrollment
  • 320 clinicians in this Medicare group
NPI 1366519027 (671) 647-2937

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
97 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Dougherty's NPI number?

The NPI number for John Dougherty is 1053722934. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is John Dougherty located?

John Dougherty practices at 56 Willow St, Valparaiso, IN 46383. The listed phone number is (219) 309-7254.

What is John Dougherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is John Dougherty enrolled in Medicare?

Yes. John Dougherty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dougherty reassigns Medicare benefits to 2 organizations: Alaska Native Tribal Health Consortium (Anchorage, AK) and Guam Memorial Hospital (Oka Tamuning, GU). Each 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 John Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Dougherty affiliated with any hospitals?

According to CMS data, John Dougherty is affiliated with Franciscan Health Michigan City and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for John Dougherty was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.