Individual provider Active NPI

Steven Paul Porto, D.O

  • Surgery Physician
  • Fishers, IN
National Provider Identifier
1497000988
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02004784A Issued in IN
Practice address
14300 E 138TH Ste D
Fishers, IN 46037-0051
Phone
(317) 558-3460
Fax
(317) 558-0710
NPI assigned
Jul 20, 2012
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 02004784A IN Primary

Addresses

Primary practice location

14300 E 138TH Ste D
Fishers, IN 46037-0051

Mailing address

16543 Collingtree Dr
Noblesville, IN 46060-4452
Phone (954) 650-9436

Other identifiers 3

IdentifierTypeStateIssuer
300013956MedicaidIN
512461OtherINANTHEM
6776038OtherINUNITED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02004784AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Regional Hospital Single Specialty CurrentSince Feb 3, 2020 Accepting new patients
Hancock Regional Hospital Single Specialty Current Accepting new patients
Hancock Regional Hospital CurrentSince Feb 3, 2020 Accepting new patients
Hancock Physician Network, LLC Single Specialty Past Accepting new patients

Locations

801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

801 N State St
Ste 205
Greenfield, IN 46140
Phone (317) 325-2699

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1497000988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16543 COLLINGTREE DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604452",
            "telephone_number": "954-650-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH STE D",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370051",
            "telephone_number": "317-558-3460",
            "fax_number": "317-558-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTO",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02004784A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013956",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "512461",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "6776038",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.