NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC
NPI 1912953043
Radiology - Radiation Oncology in Valparaiso, IN
About Northern Indiana Oncology Center Of Porter Memorial Hospital Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC (NPI 1912953043) is a healthcare organization registered as a radiation oncology in Valparaiso, Indiana and active in the NPI registry since May 2006. The organization lists Koppolu P Sarma, Senior Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northern Indiana Oncology Center Of Porter Memorial Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Northern Indiana Oncology Center Of Porter Memorial Hospital LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Northern Indiana Oncology Center Of Porter Memorial Hospital LLC's NPI number?
The NPI number for Northern Indiana Oncology Center Of Porter Memorial Hospital LLC is 1912953043. It was assigned to this organization in the NPPES registry on May 26, 2006.
Where is Northern Indiana Oncology Center Of Porter Memorial Hospital LLC located?
Northern Indiana Oncology Center Of Porter Memorial Hospital LLC is located at 54 Roosevelt Rd, Valparaiso, IN 46383. The listed phone number is (219) 462-8249.
What is Northern Indiana Oncology Center Of Porter Memorial Hospital LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Northern Indiana Oncology Center Of Porter Memorial Hospital LLC enrolled in Medicare?
Yes. Northern Indiana Oncology Center Of Porter Memorial Hospital LLC is registered in the Medicare PECOS enrollment system.
When is Northern Indiana Oncology Center Of Porter Memorial Hospital LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northern Indiana Oncology Center Of Porter Memorial Hospital LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Radiation Oncology) reassigns their Medicare billing to Northern Indiana Oncology Center Of Porter Memorial Hospital LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northern Indiana Oncology Center Of Porter Memorial Hospital LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Northern Indiana Oncology Center Of Porter Memorial Hospital LLC 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 Northern Indiana Oncology Center Of Porter Memorial Hospital LLC was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Northern Indiana Oncology Center Of Porter Memorial Hospital Llc · NPI 1912953043
Radiation Oncology organization in Valparaiso, Indiana. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1912953043 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **Organization subpart:** No
- **Authorized official:** Koppolu Sarma, SENIOR PARTNER
## Practice location
- **Address:** 54 ROOSEVELT RD, Valparaiso, IN 46383
- **Phone:** (219) 462-8249 · **Fax:** (219) 462-7902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Radiation Oncology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2011
- **Other identifiers:** Medicaid 200009380A (IN); Medicare PIN 658870 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1912953043) · Data from the CMS NPPES public registry.