NPIMap

Organization Active NPI

Pinnacle Healthcare, LLC

Doing business as Porter Primary Care

  • Family Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1821600198
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINNACLE HEALTHCARE, LLC
Doing business as
Porter Primary Care
Practice address
1551 Sturdy Rd
Valparaiso, IN 46383-7883
Phone
(219) 464-1365
NPI assigned
Aug 18, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Mr. Haroon Rashid Ansari
Title
Ceo
Phone
(219) 796-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1551 Sturdy Rd
Valparaiso, IN 46383-7883

Mailing address

9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone (219) 666-3649

Other names 1

  • Porter Primary Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pinnaclehealthcare.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Healthcare LLC4 organizations share this tax ID, including this one
Part of
Pinnacle Healthcare LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1821600198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077486",
            "telephone_number": "219-666-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837883",
            "telephone_number": "219-464-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTHCARE, LLC",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "HAROON",
        "authorized_official_middle_name": "RASHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-796-4103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pinnaclehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1551 Sturdy Rd",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463837883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Porter Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 18, 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.

Verify at the official NPI Registry.