NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC – NPI #1912953043
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC is a radiologist located in VALPARAISO, IN. NPPES has assigned the NPI number 1912953043 to NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC on May 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 15 years ago on Aug 02, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC below.

NPI Profile for
NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC

NPI Number
1912953043
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC
Primary location
54 ROOSEVELT RD
VALPARAISO, IN 46383
Phone: (219) 462-8249 Fax: (219) 462-7902
Mailing address
DEPT 6064
CAROL STREAM, IL 60122-6064
Phone: (219) 462-8249 Fax: (219) 462-7902
Organization Subpart
No
Authorized Official
KOPPOLU SARMA
SENIOR PARTNER
Phone: (219) 462-8246
Updated
Identifiers

Identifiers for NORTHERN INDIANA ONCOLOGY CENTER OF PORTER MEMORIAL HOSPITAL LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200009380A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.