Active NPI
Illiana Surgery and Medical Center, LLC
Doing business as The Orthopedic Centers, LLC
- Orthopaedic Surgery Physician
- Portage, IN
National Provider Identifier
1780684449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ILLIANA SURGERY AND MEDICAL CENTER, LLC
- Doing business as
- The Orthopedic Centers, LLC
- Practice address
- 6375 US Highway 6
Ste 3
Portage, IN 46368-5111 - Phone
- (219) 641-3051
- NPI assigned
- Jul 26, 2005
- Last updated
- Aug 22, 2020
- 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
- Vijay Gupta, M.D.
- Title
- Ceo
- Phone
- (219) 922-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | IN | Primary |
Addresses
Primary practice location
6375 US Highway 6
Ste 3
Portage, IN 46368-5111
Mailing address
701 Superior Ave
Attn: Managed Care
Munster, IN 46321-4037
Phone (219) 641-3051
Other names 1
- The Orthopedic Centers, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Heartland Memorial Hospital LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Merrillville, IN
- NPI 1023017423
-
- General Acute Care Hospital
- Munster, IN
- NPI 1770582744
-
- Family Medicine Physician
- Munster, IN
- NPI 1801956586
-
dba Illiana Rehabilitation Services Schererville
- Physical Therapy Clinic/Center
- Schererville, IN
- NPI 1770582264
Locations
6375 US Highway 6
Ste 3
Portage, IN 46368
Phone (219) 641-3051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780684449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SUPERIOR AVE",
"address_2": "ATTN: MANAGED CARE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214037",
"telephone_number": "219-641-3051",
"fax_number": "219-641-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6375 US HIGHWAY 6",
"address_2": "STE 3",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685111",
"telephone_number": "219-641-3051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLIANA SURGERY AND MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "VIJAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "219-922-4200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Orthopedic Centers, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.