Active NPI
Michael Alan Polich, N.P.
- Family Nurse Practitioner
- Dyer, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71001158A
- Practice address
- 1532 Calumet Ave
Dyer, IN 46311-1588 - Phone
- (872) 231-3162
- NPI assigned
- Oct 20, 2006
- Last updated
- Oct 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71001158A | IN | Primary |
Addresses
Primary practice location
1532 Calumet Ave
Dyer, IN 46311-1588
Mailing address
PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200324200 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2701 Leonard Dr
Suite B
Valparaiso, IN 46383-7121
Phone (219) 972-1547
350 W Schaumburg Rd
Suite 2
Schaumburg, IL 60194-3400
Phone (212) 734-6621
5490 Broadway
Suite 106
Merrillville, IN 46410-1676
Phone (219) 939-7130
596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (212) 734-6621
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.1 of 100
- Quality
- 70.56
- Improvement activities
- 40
- Cost
- 72.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001158A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Clinical LLC | Family | Current | Accepting new patients |
| Dr Rebman BH LLC | Current | Accepting new patients | |
| Infectious Disease Specialists PC | Current | Accepting new patients | |
| Integrated Rehab Consultants LLC | Current | Accepting new patients | |
| Integrated Rehab Consultants LLC | Current | Accepting new patients | |
| Dr Rebman Medical PA | Current | Accepting new patients | |
| Ivy Medical Group PLLC | Current | Accepting new patients | |
| American Association of Visiting Physicians | Past | Accepting new patients | |
| Highland Clinic of Northwest Indiana Inc | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Paragon Clinical Midwest, LLC | Past | Accepting new patients |
Locations
1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706
350 W Schaumburg Rd
Ste 2
Schaumburg, IL 60194
45 Beachway Dr
Indianapolis, IN 46224
Phone (317) 241-0577
200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750
2400 Silhavy Rd
Valparaiso, IN 46383
Phone (219) 462-1778
2701 Leonard Dr
#A
Valparaiso, IN 46383
Phone (219) 464-9800
2701 Leonard Dr
#B
Valparaiso, IN 46383
Phone (219) 464-9800
885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990
596 Sheldon Rd
Saint Albans, VT 05478
Phone (802) 524-6534
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Merrillville, IN
- NPI 1245217215
-
- Family Medicine Physician
- Merrillville, IN
- NPI 1568858637
-
- Behavioral Neurology & Neuropsychiatry Physician
- New York, NY
- NPI 1114894540
IL, IN, VT
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
IN
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1316829146
-
- General Practice Physician
- Highland, IN
- NPI 1457542292
-
- General Practice Physician
- Highland, IN
- NPI 1497954390
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1619335700
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pinnacle Hospital
- General Acute Care Hospital
- Crown Point, IN
- NPI 1801969670
-
dba Northwest Health-Porter
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
-
dba Saint Albans Healthcare & Rehabilitation Center
- Skilled Nursing Facility
- Saint Albans, VT
- NPI 1891946372
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1871675637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74008272",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606748272",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 CALUMET AVE",
"city": "DYER",
"state": "IN",
"postal_code": "463111588",
"telephone_number": "872-231-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLICH",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71001158A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200324200",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.