Porter Physician Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

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

Last updated

Jun 26, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Porter Physician Services LLC

  • Orthopaedic Surgery Physician
  • Chesterton, IN
  • NPI 1285842963

  O20070810000409

  Same enrollment
• Porter Physician Services LLC

  • Internal Medicine Physician
  • Portage, IN
  • NPI 1457566309

  O20070810000409

  Same enrollment

Locations (25 of 26)

Practitioners 211

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Praveen Anthony, MD

  • Pulmonary Disease Physician
  • Valparaiso, IN
  • NPI 1639356025

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Jennifer Aversano, FNP

  • Family Nurse Practitioner
  • Valparaiso, IN
  • NPI 1568109254

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Helda Barakat, MD

  • Internal Medicine Physician
  • Valparaiso, IN
  • NPI 1154571529
  Medicare reassignment Care Compare group NPD
• Chad Anthony Bogue, NP

  • Family Nurse Practitioner
  • Portage, IN
  • NPI 1508411315
  Medicare reassignment Care Compare group NPD
• Tareq Braik, M.D.

  • Hematology & Oncology Physician
  • Valparaiso, IN
  • NPI 1508174376
  Medicare reassignment Care Compare group NPD
• Thomas Michael Browne, M.D.

  • Family Medicine Physician
  • Knox, IN
  • NPI 1548277288
  Medicare reassignment Care Compare group NPD
• Thomas J Carter, DO, PHD

  • Family Medicine Physician
  • Wheatfield, IN
  • NPI 1649464439

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Anish Chopra, MD

  • Gastroenterology Physician
  • Valparaiso, IN
  • NPI 1962616409
  Medicare reassignment Care Compare group NPD
• Adam Laurence Cordray, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Valparaiso, IN
  • NPI 1467867176
  Medicare reassignment Care Compare group NPD
• Raghuram Dasari, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Valparaiso, IN
  • NPI 1417939885
  Medicare reassignment Care Compare group NPD
• Jennifer Leigh Defauw

  • Nurse Practitioner
  • Portage, IN
  • NPI 1548982812
  Medicare reassignment Care Compare group NPD
• Mark Dixon, D.O.

  • Clinical Cardiac Electrophysiology Physician
  • Valparaiso, IN
  • NPI 1912980236
  Medicare reassignment Care Compare group NPD

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": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28143009A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5251392",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388930",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MEDICAID",
            "identifier": "113435",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "DG1244",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Porter Health Services, LLC. (Porter Emergency Medical Services)
• Porter Hospital LLC (Northwest Health-Porter)
• Porter Hospital LLC (Northwest Health Porter)
• Porter Hospital LLC (Northwest Health-Porter)
• Porter Neonatal Group
• Porter Starke Services
• Porter Starke Services Inc
• Porter Township School Corporation
• Porter-Starke Services Inc
• Porter-Starke Services Inc.

• Family Medicine Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Family Medicine Physician in Indiana

• 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.

Verify at the official NPI Registry.