Elwood Family Medicine PC
Organization Active NPI Family Medicine Physician · Elwood, IN
NPI 1679536320 · NPPES record last updated Dec 31, 2020
Key facts
- NPI
- 1679536320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 50003477A (IN)
- Legal business name
- ELWOOD FAMILY MEDICINE PC
- Practice address
- 1520 So R St
Elwood, IN 46036 - Phone
- (765) 552-7316
- Fax
- (765) 552-7306
- NPI assigned
- Apr 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert James Helm, MD
- Title
- President
- Phone
- (765) 552-7316
Practitioners 3
-
Kerry Anne Kane, APRN BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100827000086 | IN | Part B Supplier - Clinic/Group Practice | 2860516846 |
Receives reassigned benefits from 2 practitioners Practice locations: Tipton, IN; Elwood, IN |
National Provider Directory
Locations
1520 S R St
Elwood, IN 46036
Phone (765) 552-7316
2304 Parkview Ln
Elwood, IN 46036
Phone (765) 552-1742
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 50003477A | IN | Yes |
Addresses
Primary practice location
1520 So R St
Elwood, IN 46036
Mailing address
PO Box 474
Elwood, IN 46036-0474
Phone (765) 552-7316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA0300 | Other | RAILROAD MEDICARE | |
| 200093340A | Medicaid | IN |
Other providers in Elwood, IN
- Debra Ann Dorsch
- Ronald Duncan
- Elwood Chiropractic
- Elwood Community School Corporation
- Elwood Family Dentistry, LLC
- Everside Health, LLC
- Kerrie Felton
- Amber Ferree
- Patricia R Fettig
- Gina Fike
All providers in Elwood, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.