Bluffton Physician Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUFFTON PHYSICIAN SERVICES LLC

Practice address

1026 S Main St
Bluffton, IN 46714-3614

Phone

(260) 919-3880

Fax

(260) 919-3882

NPI assigned

Jun 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristy Music

Title

Director/Provider Enrollment

Phone

(615) 465-7377

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bluffton Physician Services LLC

  • Internal Medicine Physician
  • Bluffton, IN
  • NPI 1497153522

  O20060307000661

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harish P Ardeshna, M.D.

  • Pulmonary Disease Physician
  • Bluffton, IN
  • NPI 1386600229

  IN

  Medicare reassignment Care Compare group NPD
• Eric P Purdy, M.D.

  • Ophthalmology Physician
  • Bluffton, IN
  • NPI 1497799472

  IN

  Medicare reassignment Care Compare group NPD
• Shezad Sanaullah, M.D.

  • Cardiovascular Disease Physician
  • Bluffton, IN
  • NPI 1679590426

  IN, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Michael Paul Thorpe, M.D.

  • Surgery Physician
  • Muncie, IN
  • NPI 1730413717

  IN

  Medicare reassignment Care Compare group NPD
• Azade C Yedidag, MD

  • Gastroenterology Physician
  • Fort Wayne, IN
  • NPI 1467485276

  IN

  Medicare reassignment Care Compare group
• Ma'N Adel Abdullah, MD

  • Gastroenterology Physician
  • Columbia, MO
  • NPI 1598766891
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1003858879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7000",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467143614",
            "telephone_number": "260-919-3880",
            "fax_number": "260-919-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFTON PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR/PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7377"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200813890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluffton Health System LLC
• Bluffton Health System LLC
• Bluffton Health System LLC
• Bluffton Health System LLC
• Bluffton Pediatrics PC
• Bluffton Physician Services LLC
• Bluffton Physician Services LLC
• Bluffton-Harrison M.S.D.
• Isabel Ruth Borrmann
• Kali Marinn Boxell

• All providers in Bluffton, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.