Kurt Wiese, MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01040290 Issued in IN

Legal business name

KURT WIESE, MD PC

Practice address

401 Wall St
Suite B
Valparaiso, IN 46383-2521

Phone

(219) 462-7773

Fax

(219) 531-5988

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Kurt Wiese, M.DNPI 1659470250

Title

Owner

Phone

(219) 462-7773

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Kurt Alan Wiese, M.D.

  • Obstetrics & Gynecology Physician
  • Valparaiso, IN
  • NPI 1659470250
  Medicare reassignment NPD Authorized official
• Jeannette Elise Colon-Marin, M.D.

  • Obstetrics & Gynecology Physician
  • Valparaiso, IN
  • NPI 1760673107
  Medicare reassignment
• Matyt L Adler, N.P.

  • Family Nurse Practitioner
  • Valparaiso, IN
  • NPI 1477721223
  NPD (past)
• Margaret Bazarko

  • Speech-Language Pathologist
  • Crown Point, IN
  • NPI 1649637901
  NPD (past)
• Kenneth Wayne Blumenthal, DO

  • Family Medicine Physician
  • Valparaiso, IN
  • NPI 1427053255
  NPD (past)
• Kathleen Decorte, FNP-C

  • Family Nurse Practitioner
  • Valparaiso, IN
  • NPI 1013466481
  NPD (past)
• Lauren Rigg, MD

  • Allergy Physician
  • Valparaiso, IN
  • NPI 1427583962
  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1346426533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WALL ST",
            "address_2": "SUITE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832521",
            "telephone_number": "219-462-7773",
            "fax_number": "219-531-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WALL ST",
            "address_2": "SUITE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832521",
            "telephone_number": "219-462-7773",
            "fax_number": "219-531-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT WIESE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-462-7773",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01040290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000091658",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Kubal, PHARMD
• Samantha Kubik
• Camille Kugler
• Jason Chris Kuiper, PTA
• Aneesha Kumari, MD
• Alicja Wioletta Kusiak-Brownstein, PH.D., MSW
• Ellyn Kutch
• Bethany Marie Kutemeier
• Stella Kyung, M.D.
• La Porte Clinic Company LLC

• Obstetrics & Gynecology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.