Organization Active NPI

Urology Associates of Elkhart,Inc

  • Specialist
  • Elkhart, IN
National Provider Identifier
1609894518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
50001184A Issued in IN
Legal business name
UROLOGY ASSOCIATES OF ELKHART,INC
Practice address
105 N Nappanee St
Elkhart, IN 46514-1957
Phone
(574) 295-1131
Fax
(574) 522-7690
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerald Hochstetler, M.D.NPI 1164401469
Title
President
Phone
(574) 295-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 50001184A IN Primary

Addresses

Primary practice location

105 N Nappanee St
Elkhart, IN 46514-1957

Mailing address

105 N Nappanee St
Elkhart, IN 46514-1957
Phone (574) 295-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050405000904 IN Part B Supplier - Clinic/Group Practice 7618924325 Receives reassigned benefits from 4 practitioners
Practice locations: Valparaiso, IN; Elkhart, IN; Bremen, IN; Goshen, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0356550Urology Associates of Elkhart105 N Nappanee, Elkhart, IN 46514Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1302 College Ave
Goshen, IN 46526

2400 N Ventura Way
Lagrange, IN 46761
Phone (260) 416-0070

301 E Day Rd
Mishawaka, IN 46545
Phone (574) 204-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15748/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609894518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141957",
            "telephone_number": "574-295-1131",
            "fax_number": "574-522-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141957",
            "telephone_number": "574-295-1131",
            "fax_number": "574-522-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF ELKHART,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOCHSTETLER",
        "authorized_official_first_name": "JERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-295-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "50001184A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.