Active NPI
Harley Wayne Yoder, M.D.
- Family Medicine Physician
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01046845
- Practice address
- 25651 County Road 20
Elkhart, IN 46517-2310 - Phone
- (574) 522-1201
- NPI assigned
- Sep 26, 2006
- Last updated
- Dec 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01046845 | IN | Primary |
Addresses
Primary practice location
25651 County Road 20
Elkhart, IN 46517-2310
Mailing address
25651 County Road 20
Elkhart, IN 46517-2310
Phone (574) 522-1201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200158990 | Medicaid | IN | |
| 000000091944 | Other | IN | ANTHEM |
| 080117323 | Other | IN | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25651 County Rd
Suite 20
Elkhart, IN 46517-2310
Phone (574) 522-1201
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01046845 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients |
Locations
25651 County Road 20
Elkhart, IN 46517
Phone (219) 522-1201
303 S Nappanee St
Elkhart, IN 46514
Interoperability endpoints
- harley.yoder.1@31626.direct.athenahealth.com
- harley.yoder@elkhartc.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Elkhart, IN
- NPI 1013912286
-
- Multi-Specialty Clinic/Center
- Elkhart, IN
- NPI 1083165708
-
- Family Nurse Practitioner
- Wakarusa, IN
- NPI 1568147809
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1821199431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25651 COUNTY ROAD 20",
"city": "ELKHART",
"state": "IN",
"postal_code": "465172310",
"telephone_number": "574-522-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25651 COUNTY ROAD 20",
"city": "ELKHART",
"state": "IN",
"postal_code": "465172310",
"telephone_number": "574-522-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "HARLEY",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01046845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200158990",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000091944",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "080117323",
"state": "IN"
}
],
"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 Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.