OrganizationActive
Associated Pediatricians, LLC
NPI 1952469538 · Specialist · Portage, IN
Provider details
- NPI number
- 1952469538
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jill Walker, Medicaid Tricare Services Manager(219) 531-7492
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3630 Willowcreek Rd
Suite 6
Portage, IN 46368-5075
Phone: (219) 531-7492
Fax: (219) 548-3681
Street-level locationGet directions
Mailing address
1101 Glendale Blvd
Valparaiso, IN 46383-3767
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.