GOSHEN FAMILY PHYSICIANS
NPI 1033292735
Family Medicine in Goshen, IN
About Goshen Family Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOSHEN FAMILY PHYSICIANS (NPI 1033292735) is a healthcare organization registered as a family medicine in Goshen, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through November 14, 2027 and lists Kathy E Mcclane, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Goshen Family Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Goshen Family Physicians, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0967449
Goshen Family Physicians · Goshen, INFrequently 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 Goshen Family Physicians's NPI number?
The NPI number for Goshen Family Physicians is 1033292735. It was assigned to this organization in the NPPES registry on October 24, 2006.
Where is Goshen Family Physicians located?
Goshen Family Physicians is located at 1811 Charlton Ct, Goshen, IN 46526. The listed phone number is (574) 534-8200.
What is Goshen Family Physicians's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Goshen Family Physicians enrolled in Medicare?
Yes. Goshen Family Physicians is registered in the Medicare PECOS enrollment system.
When is Goshen Family Physicians's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Goshen Family Physicians?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Goshen Family Physicians. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (10), Nurse Practitioner (3) and Hospice/Palliative Care (1). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Goshen Family Physicians hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0967449) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Goshen Family Physicians accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Goshen Family Physicians as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Goshen Family Physicians was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Goshen Family Physicians · NPI 1033292735
Family Medicine organization in Goshen, Indiana. Organization record, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1033292735 (Entity type: Organization)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kathy Mcclane, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1811 CHARLTON CT, Goshen, IN 46526-6464
- **Phone:** (574) 534-8200 · **Fax:** (574) 534-0411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (10), Nurse Practitioner (3), Hospice/Palliative Care (1); 3 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2024
- **Other identifiers:** Medicaid 300085359 (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033292735) · Data from the CMS NPPES public registry.