ADVANCED INTERNAL MEDICINE OF MICHIANA, LLC
NPI 1194288860
Clinic/Center - Primary Care in Mishawaka, IN

Active since April 10, 2019CLIA 15D2163219 · Waiver
3809 N MAIN ST STE 100, MISHAWAKA, IN 46545(574) 520-1700(833) 989-0916 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2024, Sep 19, 2024, Apr 3, 2024 and 2 more (5 updates tracked since 2019).

About Advanced Internal Medicine Of Michiana, Llc NPPES

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

ADVANCED INTERNAL MEDICINE OF MICHIANA, LLC (NPI 1194288860) is a healthcare organization registered as a primary care in Mishawaka, Indiana and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Amy Hurt, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1194288860
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHONOR PHYSICIANS, LLC
Location Address3809 N MAIN ST STE 100Mishawaka, IN 46545-3109
Mailing Address3809 N Main St Ste 200Mishawaka, IN 46545-3109 · (574) 520-1700 · Fax (833) 989-0916
Fax(833) 989-0916
Organization SubpartNo
Authorized OfficialAmy HurtPractice Manager · (574) 520-1700
Enumeration DateApril 10, 2019
Last NPPES UpdateSeptember 30, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1194288860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3809 N MAIN ST STE 100, Mishawaka, IN 46545

Other Names 1

Doing Business AsAdvanced Internal Medicine Of Michiana, Llc

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)

Advanced Internal Medicine Of Michiana, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Internal Medicine Of Michiana, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Ophthalmology
NPI 1306852520
3809 N MAIN ST STE 100B
Mishawaka, IN 46545
(574) 520-1700
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1306854203
5215 HOLYCROSS PARKWAY
Mishiwaka, IN 46545
(574) 237-7168
✔ PECOS✔ Accepts Medicare0.9 mi
Internal Medicine
NPI 1740235183
611 E DOUGLAS SUITE 309
Mishawaka, IN 46545
(574) 335-6232
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1093410375
1736 E DAY RD STE 200
Mishawaka, IN 46545
(574) 520-1700
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1205809225
2900 LAKEVIEW AVE
Saint Joseph, MI 49085
(269) 932-7859
✔ PECOS✔ Accepts Medicare31 mi
Internal Medicine
NPI 1649458712
456 25TH AVE
Bellwood, IL 60104
(708) 467-7254
✔ PECOS✔ Accepts Medicare88 mi
Internal Medicine
NPI 1891957981
2600 FERRY ST
Lafayette, IN 47904
(765) 448-8000
✔ PECOS✔ Accepts Medicare95 mi
Obstetrics/Gynecology
NPI 1497907133
11725 ILLINOIS ST
Carmel, IN 46032
(317) 688-5200
✔ PECOS120 mi
Internal Medicine
NPI 1205215415
1000 S RAINBOW BLVD STE A
Las Vegas, NV 89145
(702) 952-9171
✔ PECOS✔ Accepts Medicare1,603 mi

Source: 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

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 15D2163219

Honor Physicians LLC Dba Advanced Internal Medicine Of Michiana · Mishawaka, IN
Active · expires Mar 10, 2027
CLIA Number15D2163219
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorDahan Hussein Al-Fadhl
Laboratory Phone(574) 520-1700
Laboratory LocationHonor Physicians LLC Dba Advanced Internal Medicine Of Michiana3809 North Main Street, Suite 100, Mishawaka, IN 46545
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Honor Physicians, LLC's NPI number?

The NPI number for Honor Physicians, LLC is 1194288860. It was assigned to this organization in the NPPES registry on April 10, 2019. The provider is doing business as Advanced Internal Medicine Of Michiana, LLC.

Where is Honor Physicians, LLC located?

Honor Physicians, LLC is located at 3809 N Main St Ste 100, Mishawaka, IN 46545. The listed phone number is (574) 520-1700.

What is Honor Physicians, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Honor Physicians, LLC enrolled in Medicare?

Yes. Honor Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Honor Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Honor Physicians, LLC. 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 Internal Medicine (4), Nurse Practitioner (2) and Hospitalist (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Honor Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2163219) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Honor Physicians, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Honor Physicians, LLC 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 Honor Physicians, LLC was last updated on September 30, 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.