Active NPI
Exhale Sinus Indiana Clinics LLC
- Otolaryngology Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- EXHALE SINUS INDIANA CLINICS LLC
- Practice address
- 810 Park PL
Mishawaka, IN 46545-3520 - Phone
- (574) 336-0240
- NPI assigned
- Jul 10, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ryan Vaughn
- Title
- Owner
- Phone
- (773) 234-5880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Mishawaka, IN
- NPI 1275735581
IN
-
- Otolaryngology/Facial Plastic Surgery Physician
- Schaumburg, IL
- NPI 1487834958
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2343888 | Exhale Sinus Indiana Clinics LLC | Certificate of waiver | May 12, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250909004031 | IN | Part B Supplier - Clinic/Group Practice | 1254834088 |
Receives reassigned benefits from 3 practitioners Practice locations: Granger, IN; Mishawaka, IN |
National Provider Directory
National Provider DirectoryLocations
335 Florence Ave
#1B
Granger, IN 46530
335 Florence Ave
Ste 1B
Granger, IN 46530
Phone (574) 217-0058
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
810 Park PL
Mishawaka, IN 46545-3520
Mailing address
810 Park PL
Mishawaka, IN 46545-3520
Phone (574) 336-0240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2025.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752105600000",
"number": "1386535243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 PARK PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453520",
"telephone_number": "574-336-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 PARK PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453520",
"telephone_number": "574-336-0240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXHALE SINUS INDIANA CLINICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-234-5880"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.