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Deactivated NPI 1720023476 Deactivated / Inactive NPI Male Practitioner

Dr. Fred R. Portney , MD

Urology • Munster, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Portney has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2006
NPI Deactivation Date September 16, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Portney, MD was a registered Urology practicing in Munster, IN. Throughout an active medical career spanning 13 years, Dr. Portney provided care at the practice location at 7905 CALUMET AVE until profile deactivation on 2019-09-16.

Practice Location & Contact Primary Location

Practice Address

7905 Calumet Ave
Hammond Clinic Llc

Munster, IN 463211215

Telephone 2198367214
Fax 2198365842
Associated Practice Facility / Clinic
🏢 Physicians Optical Center Llc Facility NPI 1962555177

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Munster, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Munster, IN (320 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01018555B

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Thomas Brubaker , MD

Internal Medicine

NPI 1063451730

Doctor of Medicine (M.D.)

Dr. Donald Stork , DO

Family Medicine

NPI 1093741092

Doctor of Osteopathic Medicine (D.O.)

Dr. Mohamed Mansour , MD

Internal Medicine

NPI 1124247705

Doctor of Medicine (M.D.)

Dr. Mark Kevin , MD

Internal Medicine

NPI 1134161169

Doctor of Medicine (M.D.)

NPI 1164451472

Doctor of Medicine (M.D.)

NPI 1205881323

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 16, 2019

Record deactivated on September 16, 2019

NPI Profile Active October 25, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2012

Registered at 7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 463211215 (Tel: 2198367214)

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Updated Business Mailing Address October 25, 2012

Registered at 7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 463211215 (Tel: 2198367214)

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Provider Name / Credentials Updated October 25, 2012

Recorded as FRED PORTNEY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2012

Urology (License #01018555B in IN)

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Initial NPI Registration & Enumeration June 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720023476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2006
Last Update: October 25, 2012
Deactivation Date: September 16, 2019

Mailing Address

7905 Calumet Ave, Hammond Clinic Llc

Munster, IN 463211215

Phone: 2198367214

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.