Individual provider Active NPI

Ajoe John Kattoor, MBBS

  • Interventional Cardiology Physician
  • La Porte, IN
National Provider Identifier
1659754422
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01089745A Issued in IN
Practice address
1331 State St Ste 140
La Porte, IN 46350-3112
Phone
(219) 324-0014
Fax
(219) 324-0025
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036144990 IL
Interventional Cardiology Physician 207RI0011X 036144990 IL
Interventional Cardiology Physician 207RI0011X 316618 NY
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X 01089745A IN Primary

Addresses

Primary practice location

1331 State St Ste 140
La Porte, IN 46350-3112

Mailing address

1201 W Adams St Apt 701
Chicago, IL 60607-2898
Phone (501) 613-2868

Other practice location 1

1620 W Harrison St
Chicago, IL 60612-3801
Phone (312) 942-5000

Other practice location 2

1969 W Ogden Ave
Chicago, IL 60612-3765
Phone (312) 864-6000

Other practice location 3

4301 W Markham St
slot 634
Little Rock, AR 72205-7101
Phone (501) 686-5356

Other practice location 4

100 High St Ste D2-76
Buffalo, NY 14203-1126
Phone (716) 859-4831

Other names 1

  • Ajoe Kattoor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621002189 IN Practitioner - Interventional Cardiology 3476869744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

102 E Culver Rd
Knox, IN 46534-2216
Phone (574) 772-6231

104 E Culver Rd
Knox, IN 46534-2241

1331 State St
La Porte, IN 46350-3112

1509 State St
La Porte, IN 46350-3115
Phone (219) 326-5700

3777 N Frontage Rd
Suite 700
Michigan City, IN 46360-7698
Phone (219) 878-3217

650 Dickinson Rd
Chesterton, IN 46304-3387

6923 W 400
Michigan City, IN 46360-9198
Phone (219) 325-0604

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 878-3217

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036144990ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC CurrentSince Feb 1, 2024 Accepting new patients
La Porte Clinic Company LLC CurrentSince Jul 1, 2023 Accepting new patients
La Porte Clinic Company LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
Porter Physician Services LLC Past Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1331 State St
Ste 140
La Porte, IN 46350
Phone (219) 324-0014

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

6923 W 400 N
Michigan City, IN 46360
Phone (219) 325-0604

3777 N Frontage Rd
Ste 300
Michigan City, IN 46360
Phone (219) 872-7546

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

85 E US Highway 6
Ste 300
Valparaiso, IN 46383
Phone (219) 983-6300

Interoperability endpoints

  • Direct secure messaging: ajoe.kattoor.1@2340.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1659754422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W ADAMS ST APT 701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072898",
            "telephone_number": "501-613-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 STATE ST STE 140",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503112",
            "telephone_number": "219-324-0014",
            "fax_number": "219-324-0025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123801",
            "country_code": "US",
            "telephone_number": "312-942-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1969 W Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123765",
            "country_code": "US",
            "telephone_number": "312-864-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St",
            "address_2": "slot 634",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-5356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 High St Ste D2-76",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "716-859-4831",
            "fax_number": "716-859-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN KATTOOR",
        "first_name": "AJOE",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-03-08",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036144990",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036144990",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "316618",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01089745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJOE",
            "last_name": "KATTOOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.