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

NOAH'S ARK PEDIATRICS LLC
NPI 1336843051
Pediatrics in Valparaiso, IN

Active since March 28, 2023CLIA 15D2281300 · Waiver
1610 CALUMET AVE STE B, VALPARAISO, IN 46383(219) 462-4655(219) 462-2491 Get Directions Write a Review

NPPES record last updated: November 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 5, 2023, Mar 28, 2023 (2 updates tracked since 2023).

About Noah's Ark Pediatrics Llc NPPES

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

NOAH'S ARK PEDIATRICS LLC (NPI 1336843051) is a healthcare organization registered as a pediatrics in Valparaiso, Indiana and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists David James Dimitroff, Member, as its authorized official.

NPPES Registry Identity

NPI1336843051
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOAH'S ARK PEDIATRICS LLC
Location Address1610 CALUMET AVE STE BValparaiso, IN 46383-3328
Mailing Address1610 Calumet Ave Ste BValparaiso, IN 46383-3328 · (219) 462-4655 · Fax (219) 462-2491
Phone(219) 462-4655
Fax(219) 462-2491
Organization SubpartNo
Authorized OfficialDavid James DimitroffMember · (219) 462-4655
Enumeration DateMarch 28, 2023
Last NPPES UpdateNovember 5, 20232 updates tracked since enumeration
NPPES CertifiedNovember 5, 2023
✔ NPI 1336843051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1610 CALUMET AVE STE B, Valparaiso, IN 46383
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 15D2281300

Noah's Ark Pediatrics · Valparaiso, IN
Active · expires May 3, 2027
CLIA Number15D2281300
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorDavid J. Dimitroff
Laboratory Phone(219) 462-4655
Laboratory LocationNoah's Ark Pediatrics1610 Calumet Ave, Suite B, Valparaiso, IN 46383
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID JAMES DIMITROFF JR. M.D.
Pediatrics
1610 CALUMET AVE STE B
VALPARAISO, IN 46383
Porter County (219) 462-4655

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 Noah's Ark Pediatrics LLC's NPI number?

The NPI number for Noah's Ark Pediatrics LLC is 1336843051. It was assigned to this organization in the NPPES registry on March 28, 2023.

Where is Noah's Ark Pediatrics LLC located?

Noah's Ark Pediatrics LLC is located at 1610 Calumet Ave Ste B, Valparaiso, IN 46383. The listed phone number is (219) 462-4655.

What is Noah's Ark Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Noah's Ark Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2281300) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Noah's Ark Pediatrics LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Noah's Ark Pediatrics LLC 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 Noah's Ark Pediatrics LLC was last updated on November 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.