LAKE-PORTER CARDIOVASCULAR PC
NPI 1972694669
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Valparaiso, IN
About Lake-porter Cardiovascular Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE-PORTER CARDIOVASCULAR PC (NPI 1972694669) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Valparaiso, Indiana and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Merrillville and lists Marcia Powers, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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)
Lake-porter Cardiovascular Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lake-Porter Cardiovascular PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Lake-Porter Cardiovascular PC's NPI number?
The NPI number for Lake-Porter Cardiovascular PC is 1972694669. It was assigned to this organization in the NPPES registry on September 27, 2006.
Where is Lake-Porter Cardiovascular PC located?
Lake-Porter Cardiovascular PC is located at 2000 Roosevelt Rd Ste 101, Valparaiso, IN 46383. The listed phone number is (219) 462-1619.
What is Lake-Porter Cardiovascular PC's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Lake-Porter Cardiovascular PC enrolled in Medicare?
Yes. Lake-Porter Cardiovascular PC is registered in the Medicare PECOS enrollment system.
When is Lake-Porter Cardiovascular PC'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 March 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 Lake-Porter Cardiovascular PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Thoracic Surgery, reassign their Medicare billing to Lake-Porter Cardiovascular PC. 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 Lake-Porter Cardiovascular PC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Lake-Porter Cardiovascular PC 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 Lake-Porter Cardiovascular PC was last updated on December 12, 2019. 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.
# Lake-Porter Cardiovascular Pc · NPI 1972694669
Thoracic Surgery (Cardiothoracic Vascular Surgery) organization in Valparaiso, Indiana. Organization record, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1972694669 (Entity type: Organization)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **Organization subpart:** No
- **Authorized official:** Marcia Powers, OFFICE MANAGER
## Practice location
- **Address:** 2000 ROOSEVELT RD STE 101, Valparaiso, IN 46383-2801
- **Phone:** (219) 462-1619 · **Fax:** (219) 548-0867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Thoracic Surgery) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2019
- **Other identifiers:** Medicaid 100141870A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1972694669) · Data from the CMS NPPES public registry.