WOODLAWN MEDICAL PROFESSIONALS
NPI 1215096763
Family Medicine in Rochester, IN

Active since December 08, 2006CLIA 15D0857717 · Microscopy
1400 E 9TH ST, ROCHESTER, IN 46975(574) 223-2020(574) 223-5847 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Woodlawn Medical Professionals NPPES

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

WOODLAWN MEDICAL PROFESSIONALS (NPI 1215096763) is a healthcare organization registered as a family medicine in Rochester, Indiana and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists John Alley, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1215096763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWOODLAWN HOSPITAL
Location Address1400 E 9TH STRochester, IN 46975-8931
Mailing Address710 St Rd 25 NRochester, IN 46975 · (574) 223-2020 · Fax (574) 223-5847
Fax(574) 223-5847
Organization SubpartNo
Authorized OfficialJohn AlleyCeo President · (574) 223-3141
Enumeration DateDecember 8, 2006
Last NPPES UpdateJanuary 11, 2010
✔ NPI 1215096763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01046904A✔ Licensed in IN · 01044502A
Definition
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.
1400 E 9TH ST, Rochester, IN 46975

Other Names 1

Doing Business AsWoodlawn Medical Professionals

Other Identifiers 7

Medicare UPING28641
Medicaid200185450AIN
Medicare ID-Type Unspecified270990FJoan Joyce Md
Medicare ID-Type Unspecified270990GDavid Folk Md
Medicaid200103750AIN
Other270990IN · Medicare Id - Type Unspecified
Medicare UPING77178

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Woodlawn Medical Professionals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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 IDO20040326000043Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to Woodlawn Medical Professionals, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Emergency Medicine19
Nurse Practitioner16
Family Practice14
General Surgery4
Obstetrics/Gynecology4
Medical Oncology3
Internal Medicine2
Pediatric Medicine2
7 other specialties7

Nearest to this location (20)

See all 71
Obstetrics/Gynecology
NPI 1437415460
1400 EAST 9TH S
Rochester, IN 46975
(260) 255-5105
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1710085550
1400 E 9TH ST
Rochester, IN 46975
(574) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1013400753
1400 E 9TH ST
Rochester, IN 46975
(574) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457555716
1400 E 9TH ST
Rochester, IN 46975
(574) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477970978
1400 E 9TH ST
Rochester, IN 46975
(574) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255083481
1400 E 9TH ST
Rochester, IN 46975
(574) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1932542263
1400 E 9TH ST
Rochester, IN 46975
(574) 223-3141
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1427058189
1400 E 9TH ST
Rochester, IN 46975
(574) 223-2244
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619958378
1400 E 9TH ST
Rochester, IN 46975
(574) 224-1048
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1346242294
1400 E 9TH ST
Rochester, IN 46975
(574) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518271121
1400 E 9TH ST
Rochester, IN 46975
(574) 224-1048
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1639436314
1400 E 9TH ST
Rochester, IN 46975
(574) 224-2248
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1710325386
1400 E 9TH ST
Rochester, IN 46975
(574) 223-3141
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184312951
1400 E 9TH ST
Rochester, IN 46975
(574) 223-3341
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1033275037
1400 E 9TH ST
Rochester, IN 46975
(574) 224-1048
✔ PECOSSame address
Pediatric Medicine
NPI 1003818949
1400 E 9TH ST
Rochester, IN 46975
(574) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336149061
1432 E 9TH ST
Rochester, IN 46975
(574) 223-4337
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1093352130
1432 E 9TH ST
Rochester, IN 46975
(574) 223-4337
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1689088783
1430 E 9TH ST
Rochester, IN 46975
(574) 223-9393
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1710922190
1430 E 9TH ST
Rochester, IN 46975
(574) 223-9525
✔ PECOS0.1 mi
See all 71 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 15D0857717

Woodlawn Medical Professionals · Rochester, IN
Active · expires Aug 31, 2028
CLIA Number15D0857717
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. David K. Reyburn
Laboratory Phone(574) 224-1435
Laboratory LocationWoodlawn Medical Professionals1400 E 9th St, Rochester, IN 46975
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Woodlawn Hospital's NPI number?

The NPI number for Woodlawn Hospital is 1215096763. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as Woodlawn Medical Professionals.

Where is Woodlawn Hospital located?

Woodlawn Hospital is located at 1400 E 9th St, Rochester, IN 46975. The listed phone number is (574) 223-2020.

What is Woodlawn Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Woodlawn Hospital enrolled in Medicare?

Yes. Woodlawn Hospital is registered in the Medicare PECOS enrollment system.

When is Woodlawn Hospital'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 November 30, 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 Woodlawn Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 15 Medicare specialties reassign their Medicare billing to Woodlawn 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 Emergency Medicine (19), Nurse Practitioner (16) and Family Practice (14). Of these, 16 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Woodlawn Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0857717) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodlawn Hospital was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.