PRIVIA MEDICAL GROUP INDIANA, LLC
NPI 1013380526
Ophthalmology in Elkhart, IN
NPI Status: Active since November 05, 2015
Contact Information
2222 W LEXINGTON AVE
ELKHART, IN
ZIP 46514
Phone: (574) 294-3030
Fax: (574) 296-3544
- Organization
- Ophthalmology
- CLIA Number: 15D0682018
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2027
About PRIVIA MEDICAL GROUP INDIANA, LLC
This page provides the complete NPI Profile along with additional information for Privia Medical Group Indiana, Llc, a provider established in Elkhart, Indiana operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1013380526 assigned on November 2015. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Privia Medical Group Indiana, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1013380526
- Provider Legal Name
- PRIVIA MEDICAL GROUP INDIANA, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2222 W LEXINGTON AVE ELKHART, IN 46514
- Location Phone
- (574) 294-3030
- Location Fax
- (574) 296-3544
- Mailing Address
- PO BOX 2968 ELKHART, IN 46515
- Mailing Phone
- (574) 296-3200
- Mailing Fax
- (574) 296-3544
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-05-2015
- Last Update Date
- 05-12-2025
- Code Navigator
Ophthalmologists like Privia Medical Group Indiana, Llc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0682018
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- DR. AHSANUL HAQUE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Privia Medical Group Indiana, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013380526, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ELKHART, IN 46514
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013380526, enumerated as an "organization" on November 05, 2015.
The provider is located at 2222 W LEXINGTON AVE ELKHART, IN 46514 and the phone number is (574) 294-3030.
Ophthalmology with taxonomy code 207W00000X.
