WITHAM HEALTH SERVICES
NPI 1083750293
Family Medicine in Lebanon, IN
About Witham Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WITHAM HEALTH SERVICES (NPI 1083750293) is a healthcare organization registered as a family medicine in Lebanon, Indiana and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Kelly Braverman, Ceo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Witham Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
144Medicare enrollment records show 144 clinicians reassign Medicare billing to Witham Health Services, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 144Source: 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 4
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 Accreditation 15D0352413
Witham Memorial Hospital D/B/A Witham Health Services · Lebanon, INCertificate for Provider-Performed Microscopy Procedures (PPMP) 15D0701095
Witham Memorial Hospital D/B/A Witham Health Services · Lebanon, INCertificate of Waiver 15D2048784
Witham Health Services · Lebanon, INCertificate of Waiver 15D2085229
Witham Memorial Hospital · Lebanon, 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 Witham Memorial Hospital's NPI number?
The NPI number for Witham Memorial Hospital is 1083750293. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Witham Health Services.
Where is Witham Memorial Hospital located?
Witham Memorial Hospital is located at 2605 N Lebanon St, Lebanon, IN 46052. The listed phone number is (765) 485-8000.
What is Witham Memorial Hospital's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Witham Memorial Hospital enrolled in Medicare?
Yes. Witham Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Witham Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 144 clinicians in 25 Medicare specialties reassign their Medicare billing to Witham Memorial Hospital. 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 Nurse Practitioner (41), Family Practice (20) and Obstetrics/Gynecology (10). Of these, 5 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Witham Memorial Hospital hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Witham Memorial Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Witham Memorial Hospital 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 Witham Memorial Hospital was last updated on July 2, 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.
# Witham Health Services · NPI 1083750293
Family Medicine organization in Lebanon, Indiana. Organization record, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1083750293 (Entity type: Organization)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Witham Memorial Hospital
- **Organization subpart:** No
- **Authorized official:** Kelly Braverman, CEO, PRESIDENT
## Practice location
- **Address:** 2605 N LEBANON ST, Lebanon, IN 46052-1476
- **Phone:** (765) 485-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 144 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (41), Family Practice (20), Obstetrics/Gynecology (10); 5 practice at this address and 61 within 10 miles; [full list](https://npiprofile.com/npi/1083750293/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2024
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083750293) · Data from the CMS NPPES public registry.