Organization Active NPI

Kuhn Medical Clinic, LLC

  • Family Medicine Physician
  • Goshen, IN
National Provider Identifier
1952551863
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01040732A Issued in IN
Legal business name
KUHN MEDICAL CLINIC, LLC
Practice address
2240 Karisa Dr Ste 3
Goshen, IN 46526-6943
Phone
(574) 537-8880
Fax
(574) 537-8881
NPI assigned
Sep 27, 2008
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Andrew L Kuhn, M.D.NPI 1679545271
Title
Owner
Phone
(574) 537-8880

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 Physician 207Q00000X 01040732A IN Primary

Addresses

Primary practice location

2240 Karisa Dr Ste 3
Goshen, IN 46526-6943

Mailing address

2240 Karisa Dr Ste 3
Goshen, IN 46526-6943
Phone (574) 537-8880

Other practice location 1

121 E Waterford St
Wakarusa, IN 46573-2007
Phone (574) 537-8880

Other practice location 2

2024 Dorchester Ct
Suite 1
Goshen, IN 46526-6534
Phone (574) 537-8880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000449 IN Part B Supplier - Clinic/Group Practice 7911060777 Receives reassigned benefits from 1 practitioner
Practice locations: 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
15D1091842Kuhn Medical Clinic2240 Karisa Drive Suite 3, Goshen, IN 46526Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1952551863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 KARISA DR STE 3",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266943",
            "telephone_number": "574-537-8880",
            "fax_number": "574-537-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 KARISA DR STE 3",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266943",
            "telephone_number": "574-537-8880",
            "fax_number": "574-537-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 E Waterford St",
            "address_purpose": "LOCATION",
            "city": "Wakarusa",
            "state": "IN",
            "postal_code": "465732007",
            "country_code": "US",
            "telephone_number": "574-537-8880",
            "fax_number": "574-537-8881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2024 Dorchester Ct",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465266534",
            "country_code": "US",
            "telephone_number": "574-537-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KUHN MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-27",
        "last_updated": "2023-09-07",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-537-8880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01040732A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.