Active NPI
Porter Physician Services LLC
- Family Medicine Physician
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PORTER PHYSICIAN SERVICES LLC
- Practice address
- 85 E US Highway 6
Valparaiso, IN 46383-8947 - Phone
- (219) 983-6380
- Fax
- (219) 983-6080
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Music
- Title
- Director, Provider Enrollment
- Phone
- (877) 892-9815
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Urology Physician | 208800000X | |||
| Nurse Practitioner | 363L00000X | 28143009A | IN |
Addresses
Primary practice location
85 E US Highway 6
Valparaiso, IN 46383-8947
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7402
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100388930 | Medicaid | IN | |
| DG1244 | Other | IN | RR MCR |
| 113435 | Other | IN | ANTHEM MEDICAID |
| 5251392 | Other | IN | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070810000409 | IN | Part B Supplier - Clinic/Group Practice | 1850482407 |
Receives reassigned benefits from 173 practitioners 2 other NPIs on this enrollment Practice locations: Valparaiso, IN; Wheatfield, IN; Wanatah, IN; Chesterton, IN; Crown Point, IN; Goshen, IN; Knox, IN; La Porte, IN… |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Chesterton, IN
- NPI 1285842963
O20070810000409
-
- Internal Medicine Physician
- Portage, IN
- NPI 1457566309
O20070810000409
National Provider Directory
National Provider DirectoryLocations
1140 S Calumet Rd
Ste 2B
Chesterton, IN 46304
Phone (219) 926-6717
1855 S Main St
Goshen, IN 46526
Phone (219) 983-6300
7874 E RDG Rd
Hobart, IN 46342
Phone (844) 778-3627
7890 E Ridge Rd
Hobart, IN 46342
Phone (219) 788-1237
600 Legacy Plz W
Laporte, IN 46350
Phone (219) 362-8761
1919 Lake Ave
Ste 107
Plymouth, IN 46563
Phone (219) 983-6230
3630 Willowcreek Rd
#3
Portage, IN 46368
Phone (219) 392-7801
6200 Central Ave
Portage, IN 46368
Phone (219) 762-1040
3630 Willowcreek Rd
Ste 4
Portage, IN 46368
Phone (219) 263-7700
2206 Roosevelt Rd
Ste A
Valparaiso, IN 46383
Phone (219) 464-2285
2000 Roosevelt Rd
Ste 204
Valparaiso, IN 46383
Phone (219) 531-8600
401 Wall St
Unit F
Valparaiso, IN 46383
Phone (219) 462-2106
1101 Glendale Blvd
Ste 102A
Valparaiso, IN 46383
Phone (219) 263-7550
85 E US Highway 6
Ste 120
Valparaiso, IN 46383
Phone (219) 983-6120
809 Laporte Ave
#A
Valparaiso, IN 46383
Phone (219) 477-1013
1101 Glendale Blvd
Ste 111
Valparaiso, IN 46383
Phone (219) 464-1001
85 E US Highway 6
Ste 220
Valparaiso, IN 46383
Phone (219) 402-5057
2102 Evans Ave
Ste 116
Valparaiso, IN 46383
Phone (219) 464-9521
3988 W State Road 10
Wheatfield, IN 46392
Phone (219) 270-3400
521 E 13th St
Winamac, IN 46996
Phone (219) 464-1001
Practitioners & affiliated clinicians
Practitioners 210
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Valparaiso, IN
- NPI 1639356025
IN, Internal Medicine
-
- Family Medicine Physician
- Wheatfield, IN
- NPI 1649464439
IN, Multi-Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Valparaiso, IN
- NPI 1467867176
IN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1508075680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689022",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370689022",
"telephone_number": "615-465-7402",
"fax_number": "615-465-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 E US HIGHWAY 6",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463838947",
"telephone_number": "219-983-6380",
"fax_number": "219-983-6080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTER PHYSICIAN SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "MUSIC",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "877-892-9815"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28143009A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100388930",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "DG1244",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MEDICAID",
"identifier": "113435",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5251392",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.