NPIMap

Privia Medical Group Indiana LLC

A Medicare group practice based in Elkhart, IN: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 2365341674), with 46 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365341674The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Neurology, Part B Supplier - Clinic/Group Practice
Enrolled in
IN, MI
Enrollments
4
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040110000052 IN Part B Supplier - Clinic/Group Practice 1013912286
O20250319003886 IN DME Supplier - Physician - Neurology 1083165708
O20090116000467 MI Part B Supplier - Clinic/Group Practice 1013912286
O20100930009890 IN DME Supplier - Multi-Specialty - Physician 1013912286

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 46

Clinicians who reassign their Medicare benefits to this group (46) or whom Care Compare lists as members (28).

Sources for this page