ASSOCIATED PEDIATRICIANS, LLC
NPI 1952469538
Specialist in Portage, IN

NPI Status: Active since December 05, 2006

Contact Information

3630 WILLOWCREEK RD
SUITE 6
PORTAGE, IN
ZIP 46368
Phone: (219) 531-7492
Fax: (219) 548-3681

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  • Organization
  • Specialist
  • CLIA Number: 15D0706049
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-31-2027

About ASSOCIATED PEDIATRICIANS, LLC

This page provides the complete NPI Profile along with additional information for Associated Pediatricians, Llc, a provider established in Portage, Indiana operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1952469538 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 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 Mrs. Jill Ann Walker (Medicaid Tricare Services Manager)

NPI
1952469538
Provider Name
ASSOCIATED PEDIATRICIANS, LLC
Entity Type
Organization
Location Address
3630 WILLOWCREEK RD SUITE 6 PORTAGE, IN 46368
Location Phone
(219) 531-7492
Location Fax
(219) 548-3681
Mailing Address
1101 GLENDALE BLVD SUITE 101 VALPARAISO, IN 46383
Mailing Phone
(219) 531-7492
Mailing Fax
(219) 548-3681
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
08-22-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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

MRS. JILL ANN WALKER

Authorized Official Title
MEDICAID TRICARE SERVICES MANAGER
Authorized Official Phone
(219) 531-7492

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
15D0706049
Facility Type
Physician Office
Certificate Effective Date
January 01, 2026
Certificate Expiration Date
December 31, 2027
Laboratory Director
DR. JEFFREY E. MILLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Associated Pediatricians, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1952469538, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 0 + 2 + 8 + 6 + 1 + 8 + 5 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1952469538.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Surgery
3630 WILLOWCREEK RD, SUITE 3
PORTAGE, IN 46368
Internal Medicine (Pulmonary Disease)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Internal Medicine (Pulmonary Disease)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Internal Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Obstetrics & Gynecology
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Emergency Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Speech-Language Pathologist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Hospitalist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Nurse Anesthetist, Certified Registered
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Nurse Practitioner (Family)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Nurse Practitioner (Family)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Rehabilitation Unit
3630 WILLOWCREEK RD
PORTAGE, IN 46368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952469538, enumerated as an "organization" on December 05, 2006.

The provider is located at 3630 WILLOWCREEK RD SUITE 6 PORTAGE, IN 46368 and the phone number is (219) 531-7492.

Specialist with taxonomy code 174400000X.