Active NPI
John Dougherty
- Infectious Disease Physician
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 01091630A
- Practice address
- 56 Willow St
Valparaiso, IN 46383-4223 - Phone
- (219) 309-7254
- NPI assigned
- May 14, 2014
- Last updated
- Jan 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 01091630A | IN | Primary |
Addresses
Primary practice location
56 Willow St
Valparaiso, IN 46383-4223
Mailing address
56 Willow St
Valparaiso, IN 46383-4223
Phone (219) 309-7254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Northwestern University Feinberg Medical School, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
707 Cedar St
Suite 405
South Bend, IN 46617-2059
707 Cedar St
Suite 405
South Bend, IN 46617-2087
PO Box
Suite 781076
Detroit, MI 48278
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Internal Medicine | Current | Accepting new patients |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients |
Locations
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- jdougherty3129332@direct.trinity-health.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
Internal Medicine
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1053722934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 WILLOW ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463834223",
"telephone_number": "219-309-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 WILLOW ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463834223",
"telephone_number": "219-309-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "01091630A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.