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PRIVIA MEDICAL GROUP INDIANA, LLC
NPI 1215567003
Clinic/Center - Multi-Specialty in Elkhart, IN

Active since January 21, 2020
2117 W LEXINGTON AVE, ELKHART, IN 46514(574) 296-3444(574) 296-3328 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Jan 21, 2020 (2 updates tracked since 2020).

About Privia Medical Group Indiana, Llc NPPES

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

PRIVIA MEDICAL GROUP INDIANA, LLC (NPI 1215567003) is a healthcare organization registered as a multi-specialty in Elkhart, Indiana and active in the NPI registry since January 2020. The organization lists Timothy Porsche, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1215567003
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRIVIA MEDICAL GROUP INDIANA, LLC
Location Address2117 W LEXINGTON AVEElkhart, IN 46514-1423
Mailing AddressPo Box 2968Elkhart, IN 46515-2968 · (574) 296-3200
Phone(574) 296-3444
Fax(574) 296-3328
Organization SubpartYesParent: Elkhart Clinic, Llc
Authorized OfficialTimothy PorscheManaging Partner · (574) 296-3200
Enumeration DateJanuary 21, 2020
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1215567003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2117 W LEXINGTON AVE, Elkhart, IN 46514
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Other Names 1

Other NameElkhart Clinic Hematology And Oncology

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELKHART CLINIC, LLC
Clinic/Center
2117 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3444
ELKHART CLINIC ASC, LLC
Clinic/Center (Ambulatory Surgical)
2117 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3437

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 Privia Medical Group Indiana, LLC's NPI number?

The NPI number for Privia Medical Group Indiana, LLC is 1215567003. It was assigned to this organization in the NPPES registry on January 21, 2020. The provider is also known as Elkhart Clinic Hematology and Oncology.

Where is Privia Medical Group Indiana, LLC located?

Privia Medical Group Indiana, LLC is located at 2117 W Lexington Ave, Elkhart, IN 46514. The listed phone number is (574) 296-3444.

What is Privia Medical Group Indiana, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Indiana, LLC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.