1. Home
  2. Directory
  3. Indiana
  4. Dyer
  5. Family Medicine
  6. NPI Profile

MARCOTTE MEDICAL GROUP, SC
NPI 1669424768
Family Medicine in Dyer, IN

Active since May 17, 2006CLIA Certified · 2 labs
15900 W 101ST AVE, DYER, IN 46311(219) 365-6333(219) 365-8291 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2023, Mar 19, 2021, Dec 10, 2019 and 1 more (4 updates tracked since 2016).

About Marcotte Medical Group, Sc NPPES

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

MARCOTTE MEDICAL GROUP, SC (NPI 1669424768) is a healthcare organization registered as a family medicine in Dyer, Indiana and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Dyer, and lists Trevor M Marcotte, Owner, as its authorized official.

NPPES Registry Identity

NPI1669424768
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARCOTTE MEDICAL GROUP, PC
Location Address15900 W 101ST AVEDyer, IN 46311
Mailing Address15900 W 101st AveDyer, IN 46311 · (219) 365-6333 · Fax (219) 365-8291
Phone(219) 365-6333
Fax(219) 365-8291
Organization SubpartNo
Authorized OfficialTrevor M MarcotteOwner · (219) 365-6333
Enumeration DateMay 17, 2006
Last NPPES UpdateNovember 21, 20234 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1669424768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
15900 W 101ST AVE, Dyer, IN 46311
Open in Google Maps ↗

Other Names 2

Doing Business AsMarcotte Medical Group, Sc
Former Legal Business NameMarcotte Medical Group Inc

Secondary Practice Location 1

Location 116000 W 101st AveDyer, IN 46311 · Phone (219) 365-6333 · Fax (219) 365-8291

Other Identifiers 4

Other000000363441IN · Anthem
Other9932077IL · Bcbs
Medicaid200424880AIN
Other5913390001IN · Dmerc

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 MULTIPLE 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 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 15D1053373

Marcotte Medical Group Sc · Dyer, IN
Active · expires Apr 20, 2028
CLIA Number15D1053373
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorTrevor Marcotte
Laboratory Phone(219) 365-6333
Laboratory LocationMarcotte Medical Group Sc15900 W 101st Ave, Dyer, IN 46311
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 15D2050329

Marcotte Medical Group PC · Dyer, IN
Active · expires Mar 11, 2028
CLIA Number15D2050329
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorDr. Trevor Marcotte
Laboratory Phone(219) 365-6333
Laboratory LocationMarcotte Medical Group PC16000 W 101st Ave, Dyer, IN 46311
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 14

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

DR. SUMANTH MULAMALLA MD
Internal Medicine (Nephrology)
15900 W 101ST AVE
DYER, IN 46311
Lake County (219) 365-6333
ROBERT KOVACHEVICH DO
Family Medicine
15900 W 101ST AVE
DYER, IN 46311
Lake County (219) 365-6333
CHRISTY LYNN MARCOTTE PHARMD
Pharmacist
15900 W 101ST AVE
DYER, IN 46311
Lake County (219) 365-6333
CHRISTINE M MARCOTTE DO
Family Medicine
15900 W 101ST AVE
DYER, IN 46311
Lake County (219) 365-6333
REBECCA KRILICH FNP
Nurse Practitioner (Family)
15900 W 101ST AVE
DYER, IN 46311
Lake County (219) 365-6333
AMIE SWARDSON BARRY FNP-BC
Nurse Practitioner (Family)
15900 W 101ST AVE
DYER, IN 46311
Lake County (219) 365-6333
KATRINA SCHABACKER FNP-BC
Nurse Practitioner (Family)
15900 W 101ST AVE
DYER, IN 46311
Lake County (219) 365-6333
DAWN LITTLE FNP
Nurse Practitioner (Family)
15900 W 101ST AVE
DYER, IN 46311
Lake County (219) 365-6333

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 Marcotte Medical Group, PC's NPI number?

The NPI number for Marcotte Medical Group, PC is 1669424768. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Marcotte Medical Group, Sc. The provider was formerly known as Marcotte Medical Group INC.

Where is Marcotte Medical Group, PC located?

Marcotte Medical Group, PC is located at 15900 W 101st Ave, Dyer, IN 46311. The listed phone number is (219) 365-6333.

What is Marcotte Medical Group, PC's specialty?

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

Does Marcotte Medical Group, PC 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 Marcotte Medical Group, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Marcotte Medical Group, PC 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 Marcotte Medical Group, PC was last updated on November 21, 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.