IU HEALTH TIPTON PHYSICIANS
NPI 1114105517
Family Medicine in Tipton, IN
NPI Status: Active since February 07, 2008
Contact Information
1000 S MAIN ST
TIPTON, IN
ZIP 46072
Phone: (765) 675-1745
Fax: (765) 675-8257
- Organization
- Family Medicine
- CLIA Number: 15D2282651
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 05-23-2027
About IU HEALTH TIPTON PHYSICIANS
This page provides the complete NPI Profile along with additional information for Iu Health Tipton Physicians, a primary care provider established in Tipton, Indiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114105517 assigned on February 2008. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Iu Health Tipton Physicians operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Iu Health Tipton Physicians. The authorized official of this NPI record is Kimberlee Sherbrooke (Coo)
- NPI
- 1114105517
- Provider Legal Name
- CENTRAL INDIANA PHYSICIAN ALLIANCE, LLC
- Other Organization Name
- IU HEALTH TIPTON PHYSICIANS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1000 S MAIN ST TIPTON, IN 46072
- Location Phone
- (765) 675-1745
- Location Fax
- (765) 675-8257
- Mailing Address
- 340 W 10TH ST FS 5100 INDIANAPOLIS, IN 46202
- Mailing Phone
- (317) 278-3505
- Mailing Fax
- (765) 675-8257
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-07-2008
- Last Update Date
- 08-19-2014
- Code Navigator
A primary care provider (PCP) like Iu Health Tipton Physicians sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 5 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
| 6 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000570072 | OTHER (01) | IN | ANTHEM |
| 256870 | MEDICARE PIN (08) | IN | |
| 200900360 | MEDICAID (05) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2282651
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- May 24, 2025
- Certificate Expiration Date
- May 23, 2027
- Laboratory Director
- SANDRA MORGAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Iu Health Tipton Physicians to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for IU HEALTH TIPTON PHYSICIANS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 1 | 0 | 5 | 5 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 2 | 0 | 10 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 2 + 0 + 1 + 0 + 5 + 2 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1114105517 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
DR. WILLIAM BABCHUK MD
Radiology
(Diagnostic Radiology)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
ANNE C TAYLOR LCSW
Social Worker
(Clinical)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
DR. MARK EVENSON MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
DR. PATRICIA NORDSTROM SPALDING AU.D.
Audiologist
1000 S MAIN ST
TIPTON HOSPITAL, SUITE C
TIPTON, IN
ZIP 46072
DR. CHARLES LAI MD
Emergency Medicine
1000 S MAIN ST
TIPTON, IN
ZIP 46072
DIABETES AND ENDOCRINOLOGY ASSOCIATES LLC
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC
Emergency Medicine
(Emergency Medical Services)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
JAMES RILEY DAVIDSON M.D.
Emergency Medicine
1000 S MAIN ST
TIPTON, IN
ZIP 46072
MR. JEFFERY W MOORE CRNA
Nurse Anesthetist, Certified Registered
1000 S MAIN ST
TIPTON, IN
ZIP 46072
INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC
Medicare Defined Swing Bed Unit
1000 S MAIN ST
TIPTON, IN
ZIP 46072
INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC
General Acute Care Hospital
(Critical Access)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
MILLER'S HEALTH SYSTEMS, INC.
Skilled Nursing Facility
1000 S MAIN ST
TIPTON, IN
ZIP 46072
WILLIAM L WIXOM DO
Emergency Medicine
1000 S MAIN ST
TIPTON, IN
ZIP 46072
TAEYONG SIM M.D.
Internal Medicine
(Infectious Disease)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
ADDIE ZAHN
Physical Therapist
1000 S MAIN ST
TIPTON, IN
ZIP 46072
RAVI K MISRA MD
Internal Medicine
(Infectious Disease)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
JULIE L BROCKMAN NP
Nurse Practitioner
(Gerontology)
1000 S MAIN ST
TIPTON, IN
ZIP 46072
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114105517, enumerated as an "organization" on February 07, 2008.
The provider is located at 1000 S MAIN ST TIPTON, IN 46072 and the phone number is (765) 675-1745.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
