Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

THE GOOD SAMARITAN JATI CLINIC LLC
NPI 1033013966
Clinic/Center - Primary Care in Indianapolis, IN

Q: What is The Good Samaritan Jati Clinic LLC's NPI number?

The NPI number for The Good Samaritan Jati Clinic LLC is 1033013966. It was assigned to this organization in the NPPES registry on October 5, 2026.

Q: What is The Good Samaritan Jati Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since October 05, 2026

2104 E WASHINGTON ST STE 128, INDIANAPOLIS, IN 46201(786) 865-3586(617) 990-1707 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About The Good Samaritan Jati Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE GOOD SAMARITAN JATI CLINIC LLC (NPI 1033013966) is a healthcare organization registered as a primary care in Indianapolis, Indiana and active in the NPI registry since October 2026. The organization lists Jackson Taravine, Member, as its authorized official.

NPPES Registry Identity

NPI1033013966

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameTHE GOOD SAMARITAN JATI CLINIC LLC

Location Address2104 E WASHINGTON ST STE 128Indianapolis, IN 46201-4131

Mailing Address2104 E Washington St Ste 128Indianapolis, IN 46201-4131 · (786) 865-3586 · Fax (617) 990-1707

Phone(786) 865-3586

Fax(617) 990-1707

Organization SubpartNo

Authorized OfficialJackson TaravineMember · (786) 865-3586

Enumeration DateOctober 5, 2026

NPPES CertifiedOctober 5, 2026

✔ NPI 1033013966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

2104 E WASHINGTON ST STE 128, Indianapolis, IN 46201

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Good Samaritan Jati Clinic LLC's NPI number?

The NPI number for The Good Samaritan Jati Clinic LLC is 1033013966. It was assigned to this organization in the NPPES registry on October 5, 2026.

Where is The Good Samaritan Jati Clinic LLC located?

The Good Samaritan Jati Clinic LLC is located at 2104 E Washington St Ste 128, Indianapolis, IN 46201. The listed phone number is (786) 865-3586.

What is The Good Samaritan Jati Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for The Good Samaritan Jati Clinic LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.