Organization Active NPI

Laporte Medical Group Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • La Porte, IN
National Provider Identifier
1285870303
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC
Practice address
900 I St
Suite 1
La Porte, IN 46350-5533
Phone
(816) 877-2005
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Justin Kats
Title
Divisional Cfo
Phone
(219) 757-6403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

900 I St
Suite 1
La Porte, IN 46350-5533

Mailing address

900 I St
Suite 1
La Porte, IN 46350-5533
Phone (219) 324-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090129000167 IN Part B Supplier - Ambulatory Surgical Center 9830253277 Practice locations: La Porte, IN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Laporte Medical Group Surgical Center LLCCCN 15C0001164
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

900 I St
Ste 1
Laporte, IN 46350
Phone (216) 228-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1285870303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 I ST",
            "address_2": "SUITE 1",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505533",
            "telephone_number": "219-324-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 I ST",
            "address_2": "SUITE 1",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505533",
            "telephone_number": "816-877-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "KATS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIVISIONAL CFO",
        "authorized_official_telephone_number": "219-757-6403"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.