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NPISignal

Individual Healthcare Provider

Jac Alan Cooper, M.D.

NPI Record: ActiveSurgery — Surgical Critical Care
NPI1760487425
Valparaiso, Indiana

Provider's NPPES record last updated: September 14, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1760487425
Primary Specialty
Surgery — Surgical Critical Care
Practice Location
Valparaiso, Indiana
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:03 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Surgical Critical Care

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

    Taxonomy code 2086S0102X

Provider-Reported License Information

Surgery (Indiana)
01035869A
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

85 E US Highway 6 Ste 240

Valparaiso, Indiana 46383

Phone: (219) 983-6240

Additional Practice Location

2000 Roosevelt Rd Ste 104

Valparaiso, Indiana 46383-2801

Phone: (219) 983-6240

Fax: (219) 983-6040

Additional Practice Location

3630 Willowcreek Rd

Ste 3

Portage, Indiana 46368-5075

Phone: (219) 759-4577

Fax: (219) 759-3564

Additional Practice Location

3630 Willowcreek Rd

Ste 3

Portage, Indiana 46368-5075

Phone: (219) 759-4577

Fax: (219) 759-3564

Record Information

Enumeration Date
June 17, 2005
Provider's NPPES Record Last Updated
September 14, 2020
Certification Date
September 14, 2020
NPISignal NPPES Dataset
August 2026

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