Individual provider Active NPI

John Thomas Taylor, MD

  • Obstetrics & Gynecology Physician
  • La Porte, IN
National Provider Identifier
1891891156
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01027579A Issued in IN
Practice address
1331 State St
La Porte, IN 46350-3112
Phone
(219) 326-5700
Fax
(219) 326-8131
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01027579A IN Primary

Addresses

Primary practice location

1331 State St
La Porte, IN 46350-3112

Mailing address

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

Other practice location 1

1115 Ronald Reagan Pkwy
Avon, IN 46123-6910
Phone (317) 217-2500

Other practice location 2

11725 Illinois St
Carmel, IN 46032-3008
Phone (317) 688-5200

Other identifiers 5

IdentifierTypeStateIssuer
100215330MedicaidIN
000001589986OtherINANTHEM
000000587935OtherINANTHEM, BCBS
000001623828OtherINANTHEM
000001589732OtherINANTHEM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jtaylor@direct.iuhealth.org Direct
Direct Messaging Address jtaylor@direct.iuhealth.org Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000147 IN Practitioner - Obstetrics/Gynecology 0840360129 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

100 W Chicago Ave
Suite F
East Chicago, IN 46312-3261
Phone (219) 392-7016

1946 45TH St
Suite D
Munster, IN 46321-3986
Phone (219) 924-1888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01027579AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Nov 1, 2020 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc CurrentSince Oct 14, 2021 Accepting new patients
219 Health Network Inc Obstetrics & Gynecology CurrentSince Jun 17, 2024 Accepting new patients
La Porte Clinic Company LLC CurrentSince Nov 1, 2020 Accepting new patients
219 Health Network, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Obstetrics & Gynecology CurrentSince Oct 14, 2021 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Obstetrics & Gynecology CurrentSince Oct 14, 2021 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Nov 18, 2022 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Current Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Nov 18, 2022 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jun 1, 2025 Accepting new patients
Community Care Network Inc Obstetrics & Gynecology CurrentSince Dec 1, 2013 Accepting new patients
219 Health Network Inc Past Accepting new patients

Locations (25 of 27)

5208 Reliable Pkwy
Chicago, IL 60686

1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500

1115 Ronald Reagan Pkwy
Ste 266
Avon, IN 46123
Phone (317) 209-2000

11725 Illinois St
Ste 275
Carmel, IN 46032
Phone (317) 688-4864

11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808

10607 Randolph St
Ste C
Crown Point, IN 46307
Phone (219) 226-1895

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

3100 45th St
Ste 4
Highland, IN 46322
Phone (219) 922-6911

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

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

7002 W Johnson Rd
La Porte, IN 46350
Phone (219) 325-0604

311 Boyd Blvd
Laporte, IN 46350
Phone (219) 326-2654

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

1300 State St
Ste 1B
Laporte, IN 46350
Phone (219) 326-0000

611 E Douglas Rd
Ste 407
Mishawaka, IN 46545
Phone (574) 335-6500

611 E Douglas Rd
Ste 137
Mishawaka, IN 46545
Phone (574) 335-6214

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1946 45th St
Ste D
Munster, IN 46321
Phone (219) 924-1888

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987

Interoperability endpoints

  • Direct secure messaging: jtaylor1345025@direct.trinity-health.org
  • Direct secure messaging: john.taylor.1@7598.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1891891156",
    "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": "219-326-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 STATE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503112",
            "telephone_number": "219-326-5700",
            "fax_number": "219-326-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Ronald Reagan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461236910",
            "country_code": "US",
            "telephone_number": "317-217-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11725 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323008",
            "country_code": "US",
            "telephone_number": "317-688-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01027579A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215330",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001589986",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, BCBS",
            "identifier": "000000587935",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001623828",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001589732",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtaylor@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1115 Ronald Reagan Pkwy",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtaylor@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11725 Illinois St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323008",
            "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.