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LEE M PERIOLAT MD
NPI 1417974072
Psychiatry & Neurology - Psychiatry in Valparaiso, IN

Active since July 17, 2006PECOS Enrolled
601 WALL ST, VALPARAISO, IN 46383(219) 531-3662 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lee M Periolat Md NPPES

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

LEE M PERIOLAT MD (NPI 1417974072) is an individual psychiatry provider in Valparaiso, Indiana, licensed in Indiana (01026484) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417974072
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameLEE M PERIOLATCredential: MD
Location Address601 WALL STValparaiso, IN 46383-2512
Mailing Address601 Wall StValparaiso, IN 46383-2512 · (219) 531-3662
Phone(219) 531-3662
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
✔ NPI 1417974072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IN · 01026484
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
601 WALL ST, Valparaiso, IN 46383
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee M Periolat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lee Periolat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Porter-Starke Services Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
701 WALL ST
Valparaiso, IN 46383
  • Reassigned Medicare billing, Indiana enrollment
  • 108 clinicians in this Medicare group
NPI 1659196236 (219) 476-4646

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

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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. AMANDEEP VERMA M.D.
Psychiatry & Neurology (Psychiatry)
601 WALL ST
VALPARAISO, IN 46383
Porter County (219) 476-4639
MS. NICOLE ROBLES CAPRC1
Social Worker
601 WALL ST
VALPARAISO, IN 46383
Porter County (219) 476-4584
DR. DAVID R. KENIS PH. D.
Psychologist (Cognitive & Behavioral)
601 WALL ST
VALPARAISO, IN 46383
Porter County (219) 531-3500
MRS. GWEN A SCHILLING M.S., CADAC II
Counselor (Addiction (Substance Use Disorder))
601 WALL ST
VALPARAISO, IN 46383
Porter County (219) 476-4650
MORGAN OILER-NEGRON M.A.
Counselor (Mental Health)
601 WALL ST
VALPARAISO, IN 46383
Porter County (219) 531-3500
AMBER GERSNA LMHC
Counselor (Mental Health)
601 WALL ST
VALPARAISO, IN 46383
Porter County (219) 531-3500
MR. ROBERT JAMES BAKER BA
Counselor (Mental Health)
601 WALL ST
VALPARAISO, IN 46383
Porter County (219) 531-3500
MR. TODD SPENCER WILLIS L.M.H.C., L.P.C.
Counselor (Professional)
601 WALL ST
VALPARAISO, IN 46383
Porter County (219) 531-3500

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 Lee Periolat's NPI number?

The NPI number for Lee Periolat is 1417974072. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Lee Periolat located?

Lee Periolat practices at 601 Wall St, Valparaiso, IN 46383. The listed phone number is (219) 531-3662.

What is Lee Periolat's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lee Periolat enrolled in Medicare?

Yes. Lee Periolat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lee Periolat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Periolat reassigns Medicare benefits to Porter-Starke Services Inc. (Valparaiso, IN). The 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 Lee Periolat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Periolat was last updated on November 25, 2020. 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.