Organization Active NPI

Elite Family Health P.C.

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1669603544
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01059202A Issued in IN
Legal business name
ELITE FAMILY HEALTH P.C.
Practice address
916 E Main St
Suite 100
Greenwood, IN 46143-1533
Phone
(317) 889-0900
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Sunu GeorgeNPI 1215930318
Title
President
Phone
(317) 889-0900

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01059202A IN Primary

Addresses

Primary practice location

916 E Main St
Suite 100
Greenwood, IN 46143-1533

Mailing address

916 E Main Street
Suite 100
Greenwood, IN 46143-1533
Phone (317) 889-0900

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
15D1103847Elite Family Health916 E Main St Ste 100, Greenwood, IN 46143Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Locations

916 E Main St
Ste 100
Greenwood, IN 46143
Phone (317) 889-0900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1669603544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 E MAIN STREET",
            "address_2": "SUITE 100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431533",
            "telephone_number": "317-889-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431533",
            "telephone_number": "317-889-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FAMILY HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SUNU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-889-0900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059202A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.