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NORTHSHORE HEALTH CENTERS, INC.
NPI 1861636664
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Station, IN

Active since April 23, 2009
2490 CENTRAL AVE, LAKE STATION, IN 46405(219) 763-8112(219) 962-1580 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2020, Sep 22, 2020, Nov 29, 2017 and 1 more (4 updates tracked since 2017).

About Northshore Health Centers, Inc. NPPES

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

NORTHSHORE HEALTH CENTERS, INC. (NPI 1861636664) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Station, Indiana and active in the NPI registry since April 2009. The organization lists David Hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861636664
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHSHORE HEALTH CENTERS, INC.
Location Address2490 CENTRAL AVELake Station, IN 46405-2122
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-5380
Phone(219) 763-8112
Fax(219) 962-1580
Organization SubpartNo
Authorized OfficialDavid HallCeo · (219) 763-8112
Enumeration DateApril 23, 2009
Last NPPES UpdateNovember 12, 20204 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1861636664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedOptometristTaxonomy 152W00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
2490 CENTRAL AVE, Lake Station, IN 46405
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Other Identifiers 3

Other191360IN · Medicare Part B Ptan
Other151846IN · Medicare Part A Ptan
Medicaid200331170DIN

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northshore Health Centers, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

134

Medicare enrollment records show 134 clinicians reassign Medicare billing to Northshore Health Centers, Inc., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 45 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner36
Pediatric Medicine20
Obstetrics/Gynecology16
Psychiatry12
Family Practice10
Optometry8
Certified Nurse Midwife (CNM)7
Chiropractic7
9 other specialties18

Nearest to this location (20)

See all 134
Saoussan Alfahel, MD
Pediatric Medicine
NPI 1366697427
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOSSame address
Wanda Averhart, M.D.
Pediatric Medicine
NPI 1598184632
2490 CENTRAL AVE
Lake Station, IN 46405
(216) 764-5399
✔ PECOSSame address
Reynaldo Caluag, MD
Family Practice
NPI 1255477857
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS✔ Accepts MedicareSame address
Marie-Lesly Emmanuel, MD
Family Practice
NPI 1891375515
2490 CENTRAL AVE
Lake Station, IN 46405
(210) 358-3888
✔ PECOS✔ Accepts MedicareSame address
Mnyisei Kamvazaana, NP
Nurse Practitioner
NPI 1376371708
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOSSame address
Keith Ramsey, M.D.
Obstetrics/Gynecology
NPI 1487632527
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOSSame address
Ramadevi Sankaran, MD
Pediatric Medicine
NPI 1790992782
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOSSame address
John Sobolewski, MD
Family Practice
NPI 1912992629
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOSSame address
Shah Chowdhury, M.D.
Pediatric Medicine
NPI 1578563516
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOSSame address
Ronald Lemon, O.D.
Optometry
NPI 1518034586
2490 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS✔ Accepts MedicareSame address
Gabrielle Kasarda, DDS
Dentist
NPI 1235064734
3099 CENTRAL AVE
Lake Station, IN 46405
(219) 763-8112
✔ PECOS0.4 mi
Lashanna Lovell, M.D.
Pediatric Medicine
NPI 1821417023
1015 N SHELBY ST
Gary, IN 46403
(219) 938-0921
✔ PECOS3.3 mi
Leonard Ostrowski, M.D.
Family Practice
NPI 1881691947
3125 WILLOWCREEK RD
Portage, IN 46368
(219) 762-3175
✔ PECOS✔ Accepts Medicare3.8 mi
Megan App, M.D.
Obstetrics/Gynecology
NPI 1154334167
PO BOX 1430
Portage, IN 46368
(219) 764-5356
✔ PECOS✔ Accepts Medicare4.0 mi
Andi Arnautovic, MD
Family Practice
NPI 1487795118
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare4.0 mi
Audrey Dawson, OD
Optometry
NPI 1053889915
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS4.0 mi
Daniel Dewar, D.C.
Chiropractic
NPI 1063512937
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ Accepts Medicare4.0 mi
Mary Bustos, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1306482518
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS4.2 mi
Heather Jackson, CNM, MSN
Certified Nurse Midwife (CNM)
NPI 1669090049
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare4.2 mi
Cody Holmgren
Dentist
NPI 1952183089
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS4.2 mi
See all 134 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northshore Health Centers, Inc.'s NPI number?

The NPI number for Northshore Health Centers, Inc. is 1861636664. It was assigned to this organization in the NPPES registry on April 23, 2009.

Where is Northshore Health Centers, Inc. located?

Northshore Health Centers, Inc. is located at 2490 Central Ave, Lake Station, IN 46405. The listed phone number is (219) 763-8112.

What is Northshore Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Northshore Health Centers, Inc. enrolled in Medicare?

Yes. Northshore Health Centers, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northshore Health Centers, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 134 clinicians in 17 Medicare specialties reassign their Medicare billing to Northshore Health Centers, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (36), Pediatric Medicine (20) and Obstetrics/Gynecology (16). Of these, 10 practice at this address and 45 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northshore Health Centers, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 4 other insurers list Northshore Health Centers, Inc. 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 Northshore Health Centers, Inc. was last updated on November 12, 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.