NPIMap

Organization Active NPI

La Porte County Anesthesia Associates LLC

  • Anesthesiology Physician
  • Michigan City, IN
National Provider Identifier
1477553634
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LA PORTE COUNTY ANESTHESIA ASSOCIATES LLC
Practice address
3500 Franciscan Way
Michigan City, IN 46360-0033
Phone
(192) 877-1033
Fax
(178) 856-0655
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Jamil Ahmed, M.D.NPI 1841290038
Title
Owner
Phone
(219) 877-7947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3500 Franciscan Way
Michigan City, IN 46360-0033

Mailing address

1507 Wabash St
Suite 400C
Michigan City, IN 46360-4300
Phone (219) 871-0833

Other practice location 1

8865 W 400 N
Michigan City, IN 46360-9222
Phone (219) 877-2222

Other identifiers 1

IdentifierTypeStateIssuer
200427290BMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000231 IN Part B Supplier - Clinic/Group Practice 4688633241 Receives reassigned benefits from 49 practitioners
Practice locations: Michigan City, IN; La Porte, IN

National Provider Directory

National Provider Directory

Locations

301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033

Practitioners & affiliated clinicians

Practitioners 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1477553634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WABASH ST",
            "address_2": "SUITE 400C",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604300",
            "telephone_number": "219-871-0833",
            "fax_number": "219-871-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FRANCISCAN WAY",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463600033",
            "telephone_number": "192-877-1033",
            "fax_number": "178-856-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8865 W 400 N",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609222",
            "country_code": "US",
            "telephone_number": "219-877-2222",
            "fax_number": "219-877-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA PORTE COUNTY ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-877-7947",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200427290B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.