INDIANA UNIVERSITY HEALTH LA PORTE PHYSICIANS INC
NPI 1760593776
Clinic/Center - Multi-Specialty in La Porte, IN
NPI Status: Active since August 31, 2006
Contact Information
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
Phone: (219) 326-2489
Fax: (219) 326-2584
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 15D0948194
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-01-2026
About INDIANA UNIVERSITY HEALTH LA PORTE PHYSICIANS INC
This page provides the complete NPI Profile along with additional information for Indiana University Health La Porte Physicians Inc, a provider established in La Porte, Indiana operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1760593776 assigned on August 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's former legal business name is La Porte Regional Physician Network Inc. The authorized official of this NPI record is Brian Donnelly (Vp Of Strategy & Ambulatory Service)
- NPI
- 1760593776
- Provider Legal Name
- INDIANA UNIVERSITY HEALTH LA PORTE PHYSICIANS INC
- Other Organization Name
- LA PORTE REGIONAL PHYSICIAN NETWORK INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1007 LINCOLNWAY LA PORTE, IN 46350
- Location Phone
- (219) 326-2489
- Location Fax
- (219) 326-2584
- Mailing Address
- PO BOX 1690 LA PORTE, IN 46352
- Mailing Phone
- (219) 326-2312
- Mailing Fax
- (219) 326-2584
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 05-22-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100165070 | MEDICAID (05) | IN | |
| 153857 | MEDICARE OSCAR/CERTIFICATION (06) | IN | |
| 200988350 | MEDICAID (05) | IN | |
| 151020 | MEDICARE PIN (08) | IN | |
| 0478230001 | MEDICARE NSC (07) | IN | |
| 200255890 | MEDICAID (05) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0948194
- Facility Type
- Physician Office
- Certificate Effective Date
- July 02, 2024
- Certificate Expiration Date
- July 01, 2026
- Laboratory Director
- THOMAS M. BROWNE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Indiana University Health La Porte Physicians Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for INDIANA UNIVERSITY HEALTH LA PORTE PHYSICIANS INC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 5 | 9 | 3 | 7 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 10 | 9 | 6 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 0 + 9 + 6 + 7 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1760593776 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MRS. MARY ANN MORGAN R. D.
Dietitian, Registered
1007 LINCOLNWAY
LAPORTE, IN
ZIP 46350
MS. TRACI LAYNE NORVELL R.D.
Dietitian, Registered
1007 LINCOLNWAY
LAPORTE, IN
ZIP 46350
MRS. JOY MARIE GALLAGHER RD
Dietitian, Registered
1007 LINCOLNWAY
LAPORTE, IN
ZIP 46350
BRYAN G CUNNINGHAM MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1007 LINCOLNWAY
LAPORTE, IN
ZIP 46350
HESTER J W MULLER MD
Radiology
(Diagnostic Radiology)
1007 LINCOLNWAY
LAPORTE, IN
ZIP 46350
SMARI THORDARSON MD
Radiology
(Diagnostic Radiology)
1007 LINCOLNWAY
LAPORTE, IN
ZIP 46350
MAPLE CITY EMERGENCY PHYSICIANS, LLP
Emergency Medicine
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
VIVEK MISHRA MD
Radiology
(Diagnostic Radiology)
1007 LINCOLNWAY
LAPORTE, IN
ZIP 46350
JEFFREY ANDERSON M.D., FAEP
Emergency Medicine
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
LUDAG LLC DBA CANCER TREATMENT GROUP
Radiology
(Radiation Oncology)
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
DALE A. GOODMAN MD
Anesthesiology
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
WILLIAM E. WOLF III M.D.
Anesthesiology
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
LINDA S SIRUGO M.D.
Anesthesiology
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
PAUL SHYPOSKI PT
Specialist
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
KEN MONAHAN OTR
Specialist
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
DR. AHMAD REZA BEHROUZI DPT
Specialist
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
LOIS ANN STOCKWELL COTA
Specialist
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
ANGELA REAVES
Specialist
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
LISA MARIE JONGKIND MSPT
Physical Therapist
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
DR. JAMES LEWIS GRAINGER M.D.
Radiology
(Diagnostic Radiology)
1007 LINCOLNWAY
LA PORTE, IN
ZIP 46350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760593776, enumerated as an "organization" on August 31, 2006.
The provider is located at 1007 LINCOLNWAY LA PORTE, IN 46350 and the phone number is (219) 326-2489.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
