{"npi":"1790739084","type":"NPI-1","status":"active","name":{"display":"Dr. Nicolas Porta MD","other":[],"first":"NICOLAS","last":"PORTA","middle":"FM","credential":"MD"},"specialty":{"primary_taxonomy":"2080N0001X","primary_taxonomy_description":"Neonatal-Perinatal Medicine Physician","slug":"neonatal-perinatal-medicine-physician","schema_org_specialty":null,"all":[{"code":"2080N0001X","description":"Neonatal-Perinatal Medicine Physician","primary":true,"state":"IL","license":"036100613"},{"code":"2080N0001X","description":"Neonatal-Perinatal Medicine Physician","primary":false,"state":"MT","license":"036100613"}]},"addresses":[{"purpose":"LOCATION","street_1":"225 E CHICAGO AVE","city":"CHICAGO","state":"IL","postal_code":"606112991","country_code":"US","phone":"8005437362"},{"purpose":"MAILING","street_1":"225 E CHICAGO AVE","city":"CHICAGO","state":"IL","postal_code":"606112991","country_code":"US","phone":"8005437362"}],"license":{"state":"IL","number":"036100613"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036-100613","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170728000593","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"IL","pac_id":"8022388792"},{"enrlmt_id":"I20241024002767","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"MT","pac_id":"8022388792"}]},"enumeration_date":"2006-05-20","last_updated":"2024-09-13","_meta":{"source":"NPPES","snapshot_date":"2024-09-13","doc_url":"https://findmynpi.com/api"}}