NORTHWEST INDIANA PET/CT CENTER
NPI 1972693695
Clinic/Center - Radiology in Chesterton, IN
NPI Status: Active since October 13, 2006
Contact Information
1505 S CALUMET RD STE 7-8
CHESTERTON, IN
ZIP 46304
Phone: (219) 395-9272
Fax: (219) 395-9309
- Organization
- Clinic/Center
- Radiology
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 15D1057493
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-13-2026
About NORTHWEST INDIANA PET/CT CENTER
This page provides the complete NPI Profile along with additional information for Northwest Indiana Pet/ct Center, a provider established in Chesterton, Indiana operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1972693695 assigned on October 2006. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Kiayona L Torres (Director)
- NPI
- 1972693695
- Provider Name
- NORTHWEST INDIANA PET/CT CENTER
- Entity Type
- Organization
- Location Address
- 1505 S CALUMET RD STE 7-8 CHESTERTON, IN 46304
- Location Phone
- (219) 395-9272
- Location Fax
- (219) 395-9309
- Mailing Address
- 1505 S CALUMET RD STE 7-8 CHESTERTON, IN 46304
- Mailing Phone
- (219) 395-9272
- Mailing Fax
- (219) 395-9309
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-13-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Northwest Indiana Pet/ct Center is a medicare supplier with PTAN 20673083 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20673083
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist, Optician.
- Provider Type List
- PHYSICIAN – OPHTHALMOLOGY.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D1057493
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 14, 2024
- Certificate Expiration Date
- August 13, 2026
- Laboratory Director
- JOCELYN MCLAUGHLIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northwest Indiana Pet/ct Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 6 | 9 | 3 | 6 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 12 | 9 | 6 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 2 + 9 + 6 + 6 + 1 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1972693695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972693695, enumerated in the NPI registry as an "organization" on October 13, 2006
The provider is located at 1505 S Calumet Rd Ste 7-8 Chesterton, In 46304 and the phone number is (219) 395-9272
This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 15D1057493 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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