PATHWAYS COMMUNITY CLINIC LLC
NPI 1194611665
Clinic/Center in Indianapolis, IN
About Pathways Community Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATHWAYS COMMUNITY CLINIC LLC (NPI 1194611665) is a healthcare organization registered as a clinic/center in Indianapolis, Indiana and active in the NPI registry since June 2025. The organization holds an CLIA Accreditation certificate valid through April 28, 2027 and lists Angel Bumphus, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Pathways Community Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pathways Community Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Accreditation 15D2322910
Pathways Community Clinic · Indianapolis, 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 Pathways Community Clinic LLC's NPI number?
The NPI number for Pathways Community Clinic LLC is 1194611665. It was assigned to this organization in the NPPES registry on June 13, 2025.
Where is Pathways Community Clinic LLC located?
Pathways Community Clinic LLC is located at 1634 E Minnesota St, Indianapolis, IN 46203. The listed phone number is (317) 993-2473.
What is Pathways Community Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Pathways Community Clinic LLC enrolled in Medicare?
Yes. Pathways Community Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pathways Community Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pathways Community Clinic LLC, in Internal Medicine and Nurse Practitioner. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pathways Community Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 15D2322910) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pathways Community Clinic LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Pathways Community Clinic 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 Pathways Community Clinic LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Pathways Community Clinic Llc · NPI 1194611665
Clinic/Center organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since June 13, 2025.
## Identity
- **NPI:** 1194611665 (Entity type: Organization)
- **Enumerated:** June 13, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Angel Bumphus, ADMINISTRATOR
## Practice location
- **Address:** 1634 E MINNESOTA ST, Indianapolis, IN 46203-2842
- **Phone:** (317) 993-2473
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194611665) · Data from the CMS NPPES public registry.