Individual provider Active NPI

Max Edward Doyle

  • Medical Physician Assistant
  • La Porte, IN
National Provider Identifier
1144100793
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1331 State St
La Porte, IN 46350-3112
Phone
(219) 326-1234
NPI assigned
Sep 4, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10005019A IN
Medical Physician Assistant 363AM0700X IN Primary

Addresses

Primary practice location

1331 State St
La Porte, IN 46350-3112

Mailing address

1331 State St
La Porte, IN 46350-3112
Phone (219) 326-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119002971 IN Practitioner - Physician Assistant 4880185677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Wound Care - Indiana LLCGroup PAC ID 5597293167, 8 clinicians
Emergency Professionals of Indiana PCGroup PAC ID 4183604150, 118 clinicians

Practice addresses (Care Compare)

5635 W 96TH St
Suite 300B
Indianapolis, IN 46278-6025
Phone (440) 652-8748

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10005019AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Encore Wound Care - Indiana LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

5635 W 96th St
Ste 300B
Indianapolis, IN 46278

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

731 Bay Ave
Somers Point, NJ 08244
Phone (609) 653-0232

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1144100793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 STATE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503112",
            "telephone_number": "219-326-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 STATE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503112",
            "telephone_number": "219-326-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MAX",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10005019A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.