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ASSOCIATED PEDIATRICIANS, LLC
NPI 1952469538
Specialist in Portage, IN

Active since December 05, 2006CLIA 15D0706049 · Waiver
3630 WILLOWCREEK RD, SUITE 6, PORTAGE, IN 46368(219) 531-7492(219) 548-3681 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Associated Pediatricians, Llc NPPES

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

ASSOCIATED PEDIATRICIANS, LLC (NPI 1952469538) is a healthcare organization registered as a specialist in Portage, Indiana and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Jill Ann Walker, Medicaid Tricare Services Manager, as its authorized official.

NPPES Registry Identity

NPI1952469538
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameASSOCIATED PEDIATRICIANS, LLC
Location Address3630 WILLOWCREEK RD, SUITE 6Portage, IN 46368-5075
Mailing Address1101 Glendale Blvd, Suite 101Valparaiso, IN 46383-3767 · (219) 531-7492 · Fax (219) 548-3681
Phone(219) 531-7492
Fax(219) 548-3681
Organization SubpartNo
Authorized OfficialJill Ann WalkerMedicaid Tricare Services Manager · (219) 531-7492
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1952469538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
3630 WILLOWCREEK RD, Portage, IN 46368
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0706049

Associated Pediatricians · Portage, IN
Active · expires Dec 31, 2027
CLIA Number15D0706049
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Jeffrey E. Miller
Laboratory Phone(219) 364-3250
Laboratory LocationAssociated Pediatricians3630 Willow Creek Rd Ste 6, Portage, IN 46368
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTIC SILVERSIDE EMERGENCY PHYSICIANS LLC
Emergency Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (469) 401-2386
KOTA MEDICAL PC
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 759-5812
RANGA KOTA MD, PC
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 759-5812
PORTER HOSPITAL LLC
Rehabilitation Unit
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 263-4600
ASSOCIATES IN SURGERY, PC
Surgery
3630 WILLOWCREEK RD, SUITE 3
PORTAGE, IN 46368
Porter County (219) 759-4577
DR. SHANE DAVID BUSH M.D.
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3700
HEATHER BOLAN
Speech-Language Pathologist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3000
PORTER GROUP SERVICES, LLC
Hospitalist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3000

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 Associated Pediatricians, LLC's NPI number?

The NPI number for Associated Pediatricians, LLC is 1952469538. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Associated Pediatricians, LLC located?

Associated Pediatricians, LLC is located at 3630 Willowcreek Rd Suite 6, Portage, IN 46368. The listed phone number is (219) 531-7492.

What is Associated Pediatricians, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Associated Pediatricians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0706049) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Associated Pediatricians, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.