NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC
NPI 1912953043
Radiology - Radiation Oncology in Valparaiso, IN

Active since May 26, 2006
54 ROOSEVELT RD, VALPARAISO, IN 46383(219) 462-8249(219) 462-7902 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Radiology
  • Radiation Oncology

About NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC

This page provides the complete NPI Profile along with additional information for Northern Indiana Oncology Center Of Porter Memorial Hospital Llc, a provider established in Valparaiso, Indiana operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1912953043 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Koppolu P Sarma Md (Senior Partner)

NPI
1912953043 Verify this NPI
Provider Name
NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC
Entity Type
Organization
Location Address
54 ROOSEVELT RD VALPARAISO, IN 46383
Location Phone
(219) 462-8249
Location Fax
(219) 462-7902
Mailing Address
DEPT 6064 CAROL STREAM, IL 60122
Mailing Phone
(219) 462-8249
Mailing Fax
(219) 462-7902
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2006
Last Update Date
08-02-2011
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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

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KOPPOLU P SARMA MD

Authorized Official Title
SENIOR PARTNER
Authorized Official Phone
(219) 462-8246

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
200009380AMEDICAID (05)IN 
658870MEDICARE PIN (08)IN 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
54 ROOSEVELT RD
VALPARAISO, IN 46383
Radiology (Radiation Oncology)
54 ROOSEVELT RD
VALPARAISO, IN 46383

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912953043, enumerated as an "organization" on May 26, 2006.

The provider is located at 54 ROOSEVELT RD VALPARAISO, IN 46383 and the phone number is (219) 462-8249.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.