PRIVIA MEDICAL GROUP INDIANA, LLC
NPI 1083165708
Clinic/Center - Multi-Specialty in Elkhart, IN
NPI Status: Active since October 18, 2016
Contact Information
2222 W LEXINGTON AVE
SUITE B
ELKHART, IN
ZIP 46514
Phone: (574) 296-3200
Fax: (574) 296-3392
- Organization
- Clinic/Center
- Multi-Specialty
- Medicare Supplier
- Accepts Medicare Approved Payment
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 Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1083165708 assigned on October 2016. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1083165708
- Provider Legal Name
- PRIVIA MEDICAL GROUP INDIANA, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2222 W LEXINGTON AVE SUITE B ELKHART, IN 46514
- Location Phone
- (574) 296-3200
- Location Fax
- (574) 296-3392
- Mailing Address
- 303 S NAPPANEE ST ELKHART, IN 46514
- Mailing Phone
- (574) 296-3200
- Mailing Fax
- (574) 296-3392
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2016
- Last Update Date
- 05-12-2025
- Code Navigator
Privia Medical Group Indiana, Llc is a medicare supplier with PTAN 20664239 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20664239
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist, Optician.
- Provider Type List
- PHYSICIAN – OPHTHALMOLOGY.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
Reviews for PRIVIA MEDICAL GROUP INDIANA, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1083165708, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083165708, enumerated as an "organization" on October 18, 2016.
The provider is located at 2222 W LEXINGTON AVE SUITE B ELKHART, IN 46514 and the phone number is (574) 296-3200.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
