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

NPI Status: Active since January 21, 2020

Contact Information

2117 W LEXINGTON AVE
ELKHART, IN
ZIP 46514
Phone: (574) 296-3444
Fax: (574) 296-3328

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About PRIVIA MEDICAL GROUP INDIANA, LLC

This page provides the complete NPI Profile along with additional information for Privia Medical Group Indiana, Llc, a provider established in Elkhart, Indiana operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1215567003 assigned on January 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Timothy Porsche Md (Managing Partner)

NPI
1215567003
Provider Legal Name
PRIVIA MEDICAL GROUP INDIANA, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2117 W LEXINGTON AVE ELKHART, IN 46514
Location Phone
(574) 296-3444
Location Fax
(574) 296-3328
Mailing Address
PO BOX 2968 ELKHART, IN 46515
Mailing Phone
(574) 296-3200
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-21-2020
Last Update Date
05-12-2025
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIMOTHY PORSCHE MD

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(574) 296-3200

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215567003, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 1 + 0 + 6 + 1 + 4 + 0 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1215567003.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
2117 W LEXINGTON AVE
ELKHART, IN 46514
Clinic/Center
2117 W LEXINGTON AVE
ELKHART, IN 46514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215567003, enumerated as an "organization" on January 21, 2020.

The provider is located at 2117 W LEXINGTON AVE ELKHART, IN 46514 and the phone number is (574) 296-3444.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.