Individual provider Active NPI

Setri S Fugar, M.D.

  • Interventional Cardiology Physician
  • La Porte, IN
National Provider Identifier
1891175915
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01086118A Issued in IN
Practice address
1331 State St Ste 140
La Porte, IN 46350-3112
Phone
(219) 324-0014
NPI assigned
Jun 3, 2015
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125066589 IL
Internal Medicine Physician 207R00000X 036145054 IL
Cardiovascular Disease Physician 207RC0000X 01086118A IN
Cardiovascular Disease Physician 207RC0000X 036145054 IL
Interventional Cardiology Physician 207RI0011X 01086118A IN Primary

Addresses

Primary practice location

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

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-4004

Other practice location 1

3630 Willowcreek Rd Ste 1
Portage, IN 46368-5075
Phone (219) 364-3062

Other practice location 2

12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200

Other practice location 3

85 E US Highway 6 Ste 300
Valparaiso, IN 46383-8948
Phone (219) 983-6300

Other practice location 4

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000

Other practice location 5

2000 Roosevelt Rd Ste 205
Valparaiso, IN 46383-2802
Phone (219) 263-7600

Other identifiers 1

IdentifierTypeStateIssuer
I20160315002873MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address setri.fugar@laportehosp.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200625002674 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - HospitalistPractitioner - Internal Medicine 6103122254 Reassigns benefits to 3 organizations
I20210728001620 IN Practitioner - Cardiovascular Disease (Cardiology) 6103122254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12251 S 80TH Ave
Suite 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200

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 stenting46
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036145054ILMDInternal Medicine Physician
125066589ILMDInternal Medicine Physician
01086118AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Sep 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2025 Accepting new patients
Porter Physician Services LLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Rush Oak Park Nocturnist Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
La Porte Clinic Company LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Central Dupage Physician Group Internal Medicine Past Accepting new patients
Porter Health Services Internal Medicine Past Accepting new patients
Porter Physician Services LLC PastSince Sep 1, 2021 Accepting new patients
Northwest Indiana Nephrology PC Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

75 Remittance Dr
Chicago, IL 60675

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

12251 S 80th Ave
Ste 1520
Palos Heights, IL 60463
Phone (708) 923-4200

2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616

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

402 W Culver Rd
Knox, IN 46534
Phone (219) 772-7918

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

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

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

3630 Willowcreek Rd
Ste 1
Portage, IN 46368
Phone (219) 364-3062

2000 Roosevelt Rd
Ste 205
Valparaiso, IN 46383
Phone (219) 263-7600

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

Organizations & group practices 11

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.

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1891175915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-4004",
            "fax_number": "219-364-3610"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 Willowcreek Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685075",
            "country_code": "US",
            "telephone_number": "219-364-3062",
            "fax_number": "219-364-3229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12251 S 80th Ave Ste 1520",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631290",
            "country_code": "US",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 E US Highway 6 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463838948",
            "country_code": "US",
            "telephone_number": "219-983-6300",
            "fax_number": "219-983-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7435 W Talcott Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313707",
            "country_code": "US",
            "telephone_number": "773-774-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Roosevelt Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832802",
            "country_code": "US",
            "telephone_number": "219-263-7600",
            "fax_number": "219-263-7659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUGAR",
        "first_name": "SETRI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125066589",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036145054",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01086118A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036145054",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01086118A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I20160315002873",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "setri.fugar@laportehosp.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1331 State St Ste 140",
            "city": "LA Porte",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463503112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.