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SOUTHLAKE PEDIATRICS
NPI 1629272729
Pediatrics in Merrillville, IN

Active since June 13, 2007CLIA 15D1053470 · Waiver
8500 BROADWAY, SUITE F, MERRILLVILLE, IN 46410(219) 736-9690 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southlake Pediatrics NPPES

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

SOUTHLAKE PEDIATRICS (NPI 1629272729) is a healthcare organization registered as a pediatrics in Merrillville, Indiana and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Halah Hamzeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1629272729
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTHLAKE PEDIATRICS
Location Address8500 BROADWAY, SUITE FMerrillville, IN 46410-7055
Mailing Address8500 Broadway, Suite FMerrillville, IN 46410-7055 · (219) 736-9690
Phone(219) 736-9690
Organization SubpartNo
Authorized OfficialHalah HamzehOwner · (219) 736-9690
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629272729 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.
8500 BROADWAY, Merrillville, IN 46410
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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 and more.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 15D1053470

Southlake Pediatrics · Merrillville, IN
Active · expires Apr 24, 2028
CLIA Number15D1053470
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorHalah Hamzeh
Laboratory Phone(219) 736-9690
Laboratory LocationSouthlake Pediatrics99 E 86th Ave, Ste D, Merrillville, IN 46410
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

PAIN MANAGEMENT ASSOCIATES, P.C.
Chiropractor
8500 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 738-1925
LAKE COUNTY PEDIATRICS LLC
Pediatrics
8500 BROADWAY, STE E
MERRILLVILLE, IN 46410
Lake County (219) 736-9580
NORTHWEST INDIANA TREATMENT CENTER, LLC
Clinic/Center (Methadone)
8500 BROADWAY, SUITE H
MERRILLVILLE, IN 46410
Lake County (219) 769-7710
TUMI HEALTH LLC
Internal Medicine
8500 BROADWAY, STE A
MERRILLVILLE, IN 46410
Lake County (219) 472-0309
GEORGIA POLLY HILL
Counselor (Addiction (Substance Use Disorder))
8500 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 769-7710
DR. SEAN A. HORVATH D.C.
Chiropractor
8500 BROADWAY, STE A
MERRILLVILLE, IN 46410
Lake County (219) 738-1925
GLADYS HALL
Licensed Practical Nurse
8500 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 769-7710
DR. LYNN T POWELL D.C.
Chiropractor
8500 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 738-1925

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 Southlake Pediatrics's NPI number?

The NPI number for Southlake Pediatrics is 1629272729. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Southlake Pediatrics located?

Southlake Pediatrics is located at 8500 Broadway Suite F, Merrillville, IN 46410. The listed phone number is (219) 736-9690.

What is Southlake Pediatrics's specialty?

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

Does Southlake Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1053470) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southlake Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Southlake Pediatrics 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 Southlake Pediatrics was last updated on August 22, 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.