PORTER PHYSICIAN SERVICES LLC
NPI 1457566309
Internal Medicine in Portage, IN
About Porter Physician Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTER PHYSICIAN SERVICES LLC (NPI 1457566309) is a healthcare organization registered as an internal medicine in Portage, Indiana and active in the NPI registry since May 2007. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Porter Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
176Medicare enrollment records show 176 clinicians reassign Medicare billing to Porter Physician Services LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 176Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Porter Physician Services LLC's NPI number?
The NPI number for Porter Physician Services LLC is 1457566309. It was assigned to this organization in the NPPES registry on May 14, 2007.
Where is Porter Physician Services LLC located?
Porter Physician Services LLC is located at 3630 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 759-5791.
What is Porter Physician Services LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Porter Physician Services LLC enrolled in Medicare?
Yes. Porter Physician Services LLC is registered in the Medicare PECOS enrollment system.
When is Porter Physician Services LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Porter Physician Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 176 clinicians in 18 Medicare specialties reassign their Medicare billing to Porter Physician Services LLC. 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 (38), Family Practice (22) and Cardiovascular Disease (Cardiology) (19). Of these, 6 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Porter Physician Services LLC was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Porter Physician Services Llc · NPI 1457566309
Internal Medicine organization in Portage, Indiana. Organization record, active in the CMS NPPES registry since May 14, 2007.
## Identity
- **NPI:** 1457566309 (Entity type: Organization)
- **Enumerated:** May 14, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Debbie Brewer, DIRECTOR OF PROVIDER ENROLLMENT
## Practice location
- **Address:** 3630 WILLOWCREEK RD, Portage, IN 46368-5075
- **Phone:** (219) 759-5791 · **Fax:** (219) 759-3807
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 176 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (22), Cardiovascular Disease (Cardiology) (19); 6 practice at this address and 61 within 10 miles; [full list](https://npiprofile.com/npi/1457566309/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2009
- **Other identifiers:** Medicare PIN 252000 (IN); Medicaid 200866880A (IN); Medicare PIN 5437180002 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1457566309) · Data from the CMS NPPES public registry.