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KOKOMO UROLOGY INC.
NPI 1104026160
Urology in Kokomo, IN

Active since July 18, 2007
2345 W LINCOLN RD, KOKOMO, IN 46902(765) 455-4075(765) 455-4094 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kokomo Urology Inc. NPPES

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

KOKOMO UROLOGY INC. (NPI 1104026160) is a healthcare organization registered as an urology in Kokomo, Indiana and active in the NPI registry since July 2007. The organization lists Willis W Peelle, President, as its authorized official.

NPPES Registry Identity

NPI1104026160
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameKOKOMO UROLOGY INC.
Location Address2345 W LINCOLN RDKokomo, IN 46902-8012
Mailing Address2345 W Lincoln RdKokomo, IN 46902-8012 · (765) 455-4075 · Fax (765) 455-4094
Phone(765) 455-4075
Fax(765) 455-4094
Organization SubpartNo
Authorized OfficialWillis W PeellePresident · (765) 455-4075
Enumeration DateJuly 18, 2007
Last NPPES UpdateMay 12, 2008
✔ NPI 1104026160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2345 W LINCOLN RD, Kokomo, IN 46902
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Other Identifiers 2

Medicaid100136840AIN
Medicare NSC0249010001IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Kokomo Urology Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20101124000714Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kokomo Urology Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

James Harshman, MD
Urology
NPI 1902896871
2345 W LINCOLN RD
Kokomo, IN 46902
(765) 455-4075
✔ PECOS0.1 mi
Willis Peelle, MD
Urology
NPI 1437146156
2345 W LINCOLN RD
Kokomo, IN 46902
(765) 455-4075
✔ PECOS✔ Accepts Medicare0.1 mi
Stephen Miller, D.O.
Urology
NPI 1295990414
2312 S DIXON RD STE 240
Kokomo, IN 46902
(765) 455-4075
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kokomo Urology Inc.'s NPI number?

The NPI number for Kokomo Urology Inc. is 1104026160. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Kokomo Urology Inc. located?

Kokomo Urology Inc. is located at 2345 W Lincoln Rd, Kokomo, IN 46902. The listed phone number is (765) 455-4075.

What is Kokomo Urology Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kokomo Urology Inc. enrolled in Medicare?

Yes. Kokomo Urology Inc. is registered in the Medicare PECOS enrollment system.

When is Kokomo Urology Inc.'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 December 31, 2026. 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 Kokomo Urology Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Urology, reassign their Medicare billing to Kokomo Urology Inc.. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kokomo Urology Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Kokomo Urology Inc. 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 Kokomo Urology Inc. was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.