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PREMISE HEALTH OF INDIANA MEDICAL PC
NPI 1063818771
Clinic/Center - Multi-Specialty in Indianapolis, IN

Active since November 06, 2014CLIA 15D0723678 · Waiver
9115 HAGUE RD, INDIANAPOLIS, IN 46256(317) 521-3600(317) 521-4435 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Aug 25, 2022, Sep 8, 2020 (3 updates tracked since 2020).

About Premise Health Of Indiana Medical Pc NPPES

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

PREMISE HEALTH OF INDIANA MEDICAL PC (NPI 1063818771), doing business as Roche Wellness Center, is a healthcare organization registered as a multi-specialty in Indianapolis, Indiana and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1063818771
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC
Location Address9115 HAGUE RDIndianapolis, IN 46256-1025
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(317) 521-3600
Fax(317) 521-4435
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateNovember 6, 2014
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1063818771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
9115 HAGUE RD, Indianapolis, IN 46256
Open in Google Maps ↗

Other Names 1

Doing Business AsRoche Wellness Center

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 of Waiver 15D0723678

Premise Health Of Indiana Medical, PC · Indianapolis, IN
Active · expires Dec 31, 2026
CLIA Number15D0723678
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorRhonda Paris
Laboratory Phone(317) 521-3600
Laboratory LocationPremise Health Of Indiana Medical, PC9115 Hague Road, Indianapolis, IN 46256
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BIOTEL INR, LLC
Physiological Laboratory
9115 HAGUE RD, STE 100
INDIANAPOLIS, IN 46256
Marion County (317) 521-2000
MRS. MARLA J. KINNAMAN NP
Nurse Practitioner (Family)
9115 HAGUE RD
INDIANAPOLIS, IN 46256
Marion County (317) 521-3780
ROCHE DIABETES CARE INC
Durable Medical Equipment & Medical Supplies
9115 HAGUE RD
INDIANAPOLIS, IN 46256
Marion County (317) 521-2000
MISS KRISTEN BOURQUE RD, LD, CLC
Dietitian, Registered
9115 HAGUE RD
INDIANAPOLIS, IN 46256
Marion County (317) 521-2000

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 Premise Health Of Indiana Medical PC's NPI number?

The NPI number for Premise Health Of Indiana Medical PC is 1063818771. It was assigned to this organization in the NPPES registry on November 6, 2014. The provider is doing business as Roche Wellness Center.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 9115 Hague Rd, Indianapolis, IN 46256. The listed phone number is (317) 521-3600.

What is Premise Health Of Indiana Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Indiana Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0723678) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Indiana Medical PC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.