NORTHSHORE HEALTH CENTERS, INC.
Medicare Clinicians for NPI 1750145561
Clinic/Center - Federally Qualified Health Center (FQHC) in Valparaiso, IN

Active since February 12, 2024
85 E US HIGHWAY 6 STE 330, VALPARAISO, IN 46383(219) 763-8112 Get Directions

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Northshore Health Centers, Inc. in Valparaiso, IN bills Medicare for 134 clinicians across 17 Medicare specialties. The largest specialties are Nurse Practitioner with 36, Pediatric Medicine with 20 and Obstetrics/Gynecology with 16. Of these, 6 practice at this address and 37 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

134Clinicians
17Medicare specialties
126PECOS enrolled
67Accept Medicare
134 clinicians in 17 specialties

Nurse Practitioner (36)

Nurse Practitioner
NPI 1073073599
85 E US HIGHWAY 6 STE 330
Valparaiso, IN 46383
(219) 462-6144
✔ PECOSSame address
Nurse Practitioner
NPI 1902527690
85 E US HIGHWAY 6 STE 330
Valparaiso, IN 46383
(219) 462-6144
✔ PECOSSame address
Nurse Practitioner
NPI 1255804613
3800 SAINT MARY RD STE 102
Valparaiso, IN 46383
(219) 286-3707
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1285587477
310 W 112TH AVE
Crown Point, IN 46307
(219) 763-8112
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1023353174
3100 VILLAGE PT
Chesterton, IN 46304
(219) 440-4835
✔ PECOS7.4 mi
Nurse Practitioner
NPI 1740054790
2775 VILLAGE PT
Chesterton, IN 46304
(734) 464-0887
✔ PECOS✔ Accepts Medicare7.8 mi
Nurse Practitioner
NPI 1043985880
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1124948229
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS8.4 mi
Nurse Practitioner
NPI 1922938083
6050 STERLING CREEK RD
Portage, IN 46368
(219) 508-9569
✔ PECOS8.4 mi
Nurse Practitioner
NPI 1306482518
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS8.4 mi
Nurse Practitioner
NPI 1043928468
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS8.4 mi
Nurse Practitioner
NPI 1972343218
801 BROADWAY
Chesterton, IN 46304
(219) 763-8112
✔ PECOS9.9 mi
Nurse Practitioner
NPI 1720568017
320 W 61ST AVE
Hobart, IN 46342
(219) 947-6448
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1376371708
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS13 mi
Nurse Practitioner
NPI 1528542818
10855 VIRGINIA ST
Crown Point, IN 46307
(888) 824-0200
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1477218444
6901 BROADWAY
Merrillville, IN 46410
(219) 763-8112
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1619586070
9330 BROADWAY
Crown Point, IN 46307
(219) 648-2400
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1053887620
9330 BROADWAY
Crown Point, IN 46307
(405) 905-2020
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1679311559
10851 BROADWAY
Crown Point, IN 46307
(219) 763-8112
✔ PECOS15 mi
Nurse Practitioner
NPI 1952890352
4900 BROADWAY
Gary, IN 46408
(219) 237-5170
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1972005809
3500 FRANCISCAN WAY STE 400
Michigan City, IN 46360
(219) 878-8200
✔ PECOS16 mi
Nurse Practitioner
NPI 1336761576
2100 N MAIN ST STE 304
Crown Point, IN 46307
(574) 546-1900
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1205536349
1201 S MAIN ST
Crown Point, IN 46307
(219) 738-2100
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1902513088
508 LEGACY PLZ W
La Porte, IN 46350
(219) 763-8112
✔ PECOS21 mi
Nurse Practitioner
NPI 1235079583
10108 4TH PL
Highland, IN 46322
(847) 850-9141
✔ PECOS21 mi
Nurse Practitioner
NPI 1982041893
8345 WICKER AVE
Saint John, IN 46373
(219) 627-5077
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1194567594
4321 FIR ST
East Chicago, IN 46312
(219) 392-7466
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1356102800
1828 165TH ST
Hammond, IN 46320
(219) 763-8112
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1932945227
1828 165TH ST
Hammond, IN 46320
(219) 763-8112
✔ PECOS24 mi
Nurse Practitioner
NPI 1447896568
1828 165TH ST STE A
Hammond, IN 46320
(219) 763-8112
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1932483906
1828 165TH ST STE A
Hammond, IN 46320
(219) 763-8112
✔ PECOS24 mi
Nurse Practitioner
NPI 1437760519
5818 COLUMBIA AVE
Hammond, IN 46320
(219) 237-5160
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1912417031
5841 S MARYLAND AVE
Chicago, IL 60637
(888) 824-0200
✔ PECOS36 mi
Nurse Practitioner
NPI 1649933656
100 NAVARRE PL STE 4470
South Bend, IN 46601
(574) 647-1405
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1659093052
7990 E US HIGHWAY 36
Avon, IN 46123
(866) 389-2727
✔ PECOS✔ Accepts Medicare123 mi
Nurse Practitioner
NPI 1083902654
101 POTTERS LN
Clarksville, IN 47129
(443) 383-9300
✔ PECOS227 mi

Pediatric Medicine (20)

Pediatric Medicine
NPI 1700049558
407 W INDIANA AVE
Chesterton, IN 46304
(219) 763-8112
✔ PECOS9.8 mi
Pediatric Medicine
NPI 1578563516
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS13 mi
Pediatric Medicine
NPI 1366697427
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS13 mi
Pediatric Medicine
NPI 1598184632
2490 CENTRAL AVE
Lake Station, IN 46405
(216) 764-5399
✔ PECOS13 mi
Pediatric Medicine
NPI 1790992782
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS13 mi
Pediatric Medicine
NPI 1821417023
1015 N SHELBY ST
Gary, IN 46403
(219) 938-0921
✔ PECOS14 mi
Pediatric Medicine
NPI 1467693580
9470 BROADWAY
Crown Point, IN 46307
(219) 661-3260
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1164661922
6091 BROADWAY
Merrillville, IN 46410
(219) 763-8112
✔ PECOS15 mi
Pediatric Medicine
NPI 1508979725
1225 E COOLSPRING AVE STE 1C
Michigan City, IN 46360
(219) 861-5719
✔ PECOS17 mi
Pediatric Medicine
NPI 1821101957
6920 INDIANAPOLIS BLVD
Hammond, IN 46324
(219) 763-8112
✔ PECOS24 mi
Pediatric Medicine
NPI 1134650013
1600 167TH ST STE 500
Calumet City, IL 60409
(708) 915-3100
✔ PECOS27 mi
Pediatric Medicine
NPI 1881953867
1029 E 130TH ST
Chicago, IL 60628
(773) 253-0691
✔ PECOS31 mi
Pediatric Medicine
NPI 1457911950
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS43 mi
Pediatric Medicine
NPI 1235128075
6545 CERMAK RD
Berwyn, IL 60402
(708) 788-0077
✔ PECOS46 mi
Pediatric Medicine
NPI 1699752485
1137 OSTRANDER AVE
La Grange Park, IL 60526
(773) 972-8925
✔ PECOS49 mi
Pediatric Medicine
NPI 1952963191
415 FRANKFORT AVE
Oswego, IL 60543
(630) 800-0279
✔ PECOS67 mi
Pediatric Medicine
NPI 1043369747
2780 MCFARLAND RD
Rockford, IL 61107
(815) 971-2000
✔ PECOS115 mi
Pediatric Medicine
NPI 1124001391
6 FAIR OAKS DR
Decatur, IL 62526
(217) 691-1636
✔ PECOS149 mi
Pediatric Medicine
NPI 1477132132
400 COLONNADE DR STE 200
Ponte Vedra, FL 32081
(904) 686-7577
✔ PECOS844 mi
Pediatric Medicine
NPI 1487787602
601 RIVER POINTE DR STE 120
Conroe, TX 77304
(936) 788-6060
✔ PECOS903 mi

Obstetrics/Gynecology (16)

Obstetrics/Gynecology
NPI 1982706412
85 EAST US HIGHWAY 6 SUITE 330
Valparaiso, IN 46383
(219) 462-6144
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1790846517
85 EAST US HIGHWAY 6 SUITE 330
Valparaiso, IN 46383
(219) 462-6144
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1700947462
85 EAST US HIGHWAY 6 SUITE 330
Valparaiso, IN 46383
(219) 462-6144
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1013447853
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare8.4 mi
Obstetrics/Gynecology
NPI 1154334167
PO BOX 1430
Portage, IN 46368
(219) 764-5356
✔ PECOS✔ Accepts Medicare9.7 mi
Obstetrics/Gynecology
NPI 1588647523
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare9.7 mi
Obstetrics/Gynecology
NPI 1972695666
407 W INDIANA AVE
Chesterton, IN 46304
(219) 763-8112
✔ PECOS✔ Accepts Medicare9.8 mi
Obstetrics/Gynecology
NPI 1487632527
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS13 mi
Obstetrics/Gynecology
NPI 1679616924
99 E 86TH AVE SUITE B
Merrillville, IN 46410
(219) 738-3220
✔ PECOS14 mi
Obstetrics/Gynecology
NPI 1942658497
6091 BROADWAY
Merrillville, IN 46410
(219) 763-8112
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1942216478
6091 BROADWAY
Merrillville, IN 46410
(219) 763-8113
✔ PECOS15 mi
Obstetrics/Gynecology
NPI 1487049813
6091 BROADWAY
Merrillville, IN 46410
(219) 763-8112
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1184880981
607 W 93RD CT
Crown Point, IN 46307
(929) 444-2296
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1033101753
6920 INDIANAPOLIS BLVD
Hammond, IN 46324
(219) 763-8112
✔ PECOS✔ Accepts Medicare24 mi
Obstetrics/Gynecology
NPI 1659463859
6920 INDIANAPOLIS BOULEVARD
Hammond, IN 46324
(219) 763-8112
✔ PECOS24 mi
Obstetrics/Gynecology
NPI 1629338777
5215 HOLY CROSS PKWY
Mishawaka, IN 46545
(574) 335-5000
✔ PECOS✔ Accepts Medicare49 mi

Psychiatry (12)

Psychiatry
NPI 1538151717
3903 E LINCOLN HWY
Merrillville, IN 46410
(219) 940-9466
✔ PECOS✔ Accepts Medicare12 mi
Psychiatry
NPI 1497850663
1100 W 6TH AVE
Gary, IN 46402
(219) 885-4264
✔ PECOS✔ Accepts Medicare18 mi
Psychiatry
NPI 1679515035
1650 45TH ST STE C
Munster, IN 46321
(219) 934-6410
✔ PECOS✔ Accepts Medicare23 mi
Psychiatry
NPI 1114969573
1650 45TH ST STE 2A&2B
Munster, IN 46321
(219) 934-6410
✔ PECOS✔ Accepts Medicare23 mi
Psychiatry
NPI 1720199029
9250 COLUMBIA AVE STE 2E
Munster, IN 46321
(219) 595-0043
✔ PECOS✔ Accepts Medicare24 mi
Psychiatry
NPI 1689092389
720 45TH ST
Munster, IN 46321
(219) 852-2513
✔ PECOS25 mi
Psychiatry
NPI 1093072555
1901 W HARRISON ST
Chicago, IL 60612
(773) 826-9960
✔ PECOS✔ Accepts Medicare43 mi
Psychiatry
NPI 1205103793
5470 GLENN CROSS RD
Battle Creek, MI 49015
(269) 788-1258
✔ PECOS✔ Accepts Medicare111 mi
Psychiatry
NPI 1548423858
11900 PENNSYLVANIA ST STE 104
Carmel, IN 46032
(800) 997-6196
✔ PECOS114 mi
Psychiatry
NPI 1306838784
8401 HARCOURT RD
Indianapolis, IN 46260
(317) 338-4600
✔ PECOS✔ Accepts Medicare117 mi
Psychiatry
NPI 1699765198
711 GREEN RD
Madison, IN 47250
(812) 265-2611
✔ PECOS207 mi
Psychiatry
NPI 1083615454
1959 NE PACIFIC ST
Seattle, WA 98195
(206) 598-6195
✔ PECOS✔ Accepts Medicare1,775 mi

Family Practice (10)

Family Practice
NPI 1881691947
3125 WILLOWCREEK RD
Portage, IN 46368
(219) 762-3175
✔ PECOS✔ Accepts Medicare9.2 mi
Family Practice
NPI 1487795118
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare9.7 mi
Family Practice
NPI 1053460899
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS9.7 mi
Family Practice
NPI 1912992629
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS13 mi
Family Practice
NPI 1255477857
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1891375515
2490 CENTRAL AVE
Lake Station, IN 46405
(210) 358-3888
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1578958278
6920 INDIANAPOLIS BLVD
Hammond, IN 46324
(219) 763-8112
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1770158677
1828 165TH ST
Hammond, IN 46320
(219) 763-8112
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1275616955
7905 CALUMET AVE
Munster, IN 46321
(219) 836-3049
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1518531318
1500 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6097
✔ PECOS✔ Accepts Medicare43 mi

Optometry (8)

Optometry
NPI 1508833831
2101 BURLINGTON BEACH RD
Valparaiso, IN 46383
(219) 462-0309
✔ PECOS3.0 mi
Optometry
NPI 1225416019
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare8.4 mi
Optometry
NPI 1306498787
101 BEVERLY DR STE C
Chesterton, IN 46304
(219) 728-3937
✔ PECOS✔ Accepts Medicare8.9 mi
Optometry
NPI 1053889915
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS9.7 mi
Optometry
NPI 1518034586
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS✔ Accepts Medicare13 mi
Optometry
NPI 1700314630
310 W. 112TH
Crown Point, IN 46307
(219) 763-8112
✔ PECOS✔ Accepts Medicare29 mi
Optometry
NPI 1366882763
209 S LA SALLE ST LBBY 120
Chicago, IL 60604
(312) 332-4461
✔ PECOS41 mi
Optometry
NPI 1386124089
4214 N HARLEM AVE
Norridge, IL 60706
(708) 453-7005
✔ PECOS51 mi

Certified Nurse Midwife (CNM) (7)

Certified Nurse Midwife (CNM)
NPI 1477273969
85 E US HIGHWAY 6 STE 330
Valparaiso, IN 46383
(219) 462-6144
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1194441584
85 E US HIGHWAY 6 STE 330
Valparaiso, IN 46383
(219) 462-6144
✔ PECOS1.0 mi
Certified Nurse Midwife (CNM)
NPI 1295077782
413 W 100 N
Valparaiso, IN 46385
(219) 628-6452
✔ PECOS5.4 mi
Certified Nurse Midwife (CNM)
NPI 1669090049
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare8.4 mi
Certified Nurse Midwife (CNM)
NPI 1518399005
3700 W 203RD ST
Olympia Fields, IL 60461
(708) 679-1890
✔ PECOS34 mi
Certified Nurse Midwife (CNM)
NPI 1295399178
10260 191ST ST STE 100
Mokena, IL 60448
(708) 572-7669
✔ PECOS42 mi
Certified Nurse Midwife (CNM)
NPI 1003202607
9200 W WISCONSIN AVE
Milwaukee, WI 53226
(414) 805-4777
✔ PECOS119 mi

Chiropractic (7)

Chiropractic
NPI 1063512937
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ Accepts Medicare9.7 mi
Chiropractic
NPI 1083768527
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ Accepts Medicare9.7 mi
Chiropractic
NPI 1760123640
407 W INDIANA AVE
Chesterton, IN 46304
(219) 763-8112
✔ Accepts Medicare9.8 mi
Chiropractic
NPI 1922161595
114 N CALUMET RD
Chesterton, IN 46304
(219) 926-3310
10.0 mi
Chiropractic
NPI 1013674142
761 INDIAN BOUNDARY RD STE 4
Chesterton, IN 46304
(219) 250-2242
10 mi
Chiropractic
NPI 1487328316
1828 165TH ST STE A
Hammond, IN 46320
(219) 763-8112
✔ Accepts Medicare24 mi
Chiropractic
NPI 1861894875
1891 BAY SCOTT CIR STE 115
Naperville, IL 60540
(630) 364-2301
✔ Accepts Medicare62 mi

Dentist (5)

Dentist
NPI 1306864442
1302 VALE PARK RD
Valparaiso, IN 46383
(219) 462-0780
✔ PECOS1.8 mi
Dentist
NPI 1952183089
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS8.4 mi
Dentist
NPI 1235064734
3099 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS12 mi
Dentist
NPI 1134327000
606 W BURLINGTON AVE
La Grange, IL 60525
(708) 352-2250
✔ PECOS49 mi
Dentist
NPI 1306391719
2780 FM 365
Port Arthur, TX 77640
(409) 433-9254
✔ PECOS884 mi

Podiatry (3)

Podiatry
NPI 1477546265
1275 E NORTH ST
Crown Point, IN 46307
(219) 663-9446
✔ PECOS✔ Accepts Medicare16 mi
Podiatry
NPI 1952309759
9105A INDIANAPOLIS BLVD SUITE 102
Highland, IN 46322
(219) 923-9090
✔ PECOS22 mi
Podiatry
NPI 1326067042
25 E SCHAUMBURG RD STE 110
Schaumburg, IL 60194
(847) 352-1473
✔ PECOS✔ Accepts Medicare65 mi

Clinical Psychologist (2)

Clinical Psychologist
NPI 1205314226
6250 W NORTH AVE
Chicago, IL 60639
(773) 622-6218
✔ PECOS48 mi
Clinical Psychologist
NPI 1932357993
1109 W EUCLID AVE
Deland, FL 32720
(386) 943-9040
✔ PECOS✔ Accepts Medicare917 mi

Endocrinology (2)

Endocrinology
NPI 1801325972
6091 BROADWAY
Merrillville, IN 46410
(219) 763-8112
✔ PECOS✔ Accepts Medicare15 mi
Endocrinology
NPI 1144203647
7447 W TALCOTT AVE STE 467
Chicago, IL 60631
(630) 866-3636
✔ PECOS✔ Accepts Medicare53 mi

Internal Medicine (2)

Internal Medicine
NPI 1861538712
9133 S STONY ISLAND AVE
Chicago, IL 60617
(773) 375-3312
✔ PECOS✔ Accepts Medicare33 mi
Internal Medicine
NPI 1659312759
8902 N MERIDIAN ST STE 101
Indianapolis, IN 46260
(317) 848-8048
✔ PECOS✔ Accepts Medicare117 mi

Diagnostic Radiology (1)

Diagnostic Radiology
NPI 1093707457
721 W STATE ROUTE 22
Lake Zurich, IL 60047
(708) 827-5732
✔ PECOS74 mi

Orthopedic Surgery (1)

Orthopedic Surgery
NPI 1033131024
4646 N MARINE DR # 8C
Chicago, IL 60640
(312) 310-5864
✔ PECOS✔ Accepts Medicare46 mi

Osteopathic Manipulative Medicine (1)

Osteopathic Manipulative Medicine
NPI 1487661500
520 S 7TH ST
Vincennes, IN 47591
(812) 885-3228
✔ PECOS✔ Accepts Medicare194 mi

Registered Dietitian or Nutrition Professional (1)

Registered Dietitian or Nutrition Professional
NPI 1841673449
303 E 89TH AVE
Merrillville, IN 46410
(219) 738-5802
14 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Northshore Health Centers, Inc. appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.