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PORTER PHYSICIAN SERVICES LLC
NPI 1508075680
Family Medicine in Valparaiso, IN

Active since May 22, 2007CLIA Certified · 2 labs
85 E US HIGHWAY 6, VALPARAISO, IN 46383(219) 983-6380(219) 983-6080 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Jun 8, 2022, Feb 10, 2021 (3 updates tracked since 2021).

About Porter Physician Services Llc NPPES

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

PORTER PHYSICIAN SERVICES LLC (NPI 1508075680) is a healthcare organization registered as a family medicine in Valparaiso, Indiana and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Kristina Music, Director, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1508075680
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORTER PHYSICIAN SERVICES LLC
Location Address85 E US HIGHWAY 6Valparaiso, IN 46383-8947
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7402 · Fax (615) 465-6286
Phone(219) 983-6380
Fax(219) 983-6080
Organization SubpartNo
Authorized OfficialKristina MusicDirector, Provider Enrollment · (877) 892-9815
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1508075680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedUrologyTaxonomy 208800000X
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28143009A (IN)
85 E US HIGHWAY 6, Valparaiso, IN 46383
Open in Google Maps ↗

Other Identifiers 4

Medicaid100388930IN
OtherDG1244IN · Rr Mcr
Other113435IN · Anthem Medicaid
Other5251392IN · Aetna

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 ›

CLIA Laboratory Certificates CMS CLIA 2

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 15D2031025

Porter Physician Services, LLC · Valparaiso, IN
Active · expires Oct 10, 2027
CLIA Number15D2031025
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorHector Marchand Jr
Laboratory Phone(219) 548-3843
Laboratory LocationPorter Physician Services, LLC2505 Calumet Ave, Valparaiso, IN 46383
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2031027

Porter Physician Services, LLC · Valparaiso, IN
Active · expires Oct 10, 2027
CLIA Number15D2031027
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorJennifer Defauw
Laboratory Phone(219) 464-9521
Laboratory LocationPorter Physician Services, LLC1100 Mcdonald Dr Suite 102A, Valparaiso, IN 46383
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

BRITTANY RODRIGUEZ
Registered Nurse
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Porter County (219) 983-8300
DR. DAVID CUMMINS M.D.
Emergency Medicine
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Porter County (219) 983-8300
MICHAEL CHRISTOPHER HANSEN MD
Internal Medicine (Critical Care Medicine)
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Porter County (219) 464-9054
KRISHNAVENI MANDAN
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Porter County (219) 983-8399
LEAH VICTORIA WU
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Porter County (219) 983-8300
SYED TAYYAB SHAH MD
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Porter County (219) 983-8300
OMAR JASON BARAKAT M.D.
Radiology (Vascular & Interventional Radiology)
85 E US HIGHWAY 6, DEPARTMENT OF RADIOLOGY
VALPARAISO, IN 46383
Porter County (219) 464-4891
JESSICA MARIE JOHNSON
Nurse Practitioner
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Porter County (219) 983-8300

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 1508075680. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Porter Physician Services LLC located?

Porter Physician Services LLC is located at 85 E Us Highway 6, Valparaiso, IN 46383. The listed phone number is (219) 983-6380.

What is Porter Physician Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Porter Physician Services LLC hold CLIA laboratory certificates?

Yes. 2 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 Porter Physician Services LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Porter Physician Services 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 Porter Physician Services LLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.