PATEL FAMILY MEDICINE LLC
NPI 1225348584
Clinic/Center in Plymouth, IN

Active since October 20, 2010CLIA 15D2055893 · Waiver
105 WATER ST, PLYMOUTH, IN 46563(574) 936-3178(574) 936-1084 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patel Family Medicine Llc NPPES

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

PATEL FAMILY MEDICINE LLC (NPI 1225348584), doing business as Family Medicine Center Of Plymouth, is a healthcare organization registered as a clinic/center in Plymouth, Indiana and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Kimberly Miller, Director Or Rcm, as its authorized official.

NPPES Registry Identity

NPI1225348584
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePATEL FAMILY MEDICINE LLC
Location Address105 WATER STPlymouth, IN 46563-2148
Mailing AddressPo Box 7412494Chicago, IL 60674-2494 · (248) 607-0037 · Fax (734) 462-0344
Fax(574) 936-1084
Organization SubpartNo
Authorized OfficialKimberly MillerDirector Or Rcm · (248) 331-7908
Enumeration DateOctober 20, 2010
Last NPPES UpdateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
NPI 1225348584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IN · 01063921A
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
105 WATER ST, Plymouth, IN 46563

Other Names 1

Doing Business AsFamily Medicine Center Of Plymouth

Accepted Insurance

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 15D2055893

Patel Family Medicine Ctr Of Plymouth · Plymouth, IN
Active · expires Mar 18, 2027
CLIA Number15D2055893
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorDr. Viraj S Patel
Laboratory Phone(574) 936-3178
Laboratory LocationPatel Family Medicine Ctr Of Plymouth105 Water Street, Plymouth, IN 46563
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
105 WATER ST
PLYMOUTH, IN 46563
Nurse Practitioner (Family)
105 WATER ST
PLYMOUTH, IN 46563
Nurse Practitioner
105 WATER ST
PLYMOUTH, IN 46563
Nurse Practitioner (Family)
105 WATER ST
PLYMOUTH, IN 46563

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 Patel Family Medicine LLC's NPI number?

The NPI number for Patel Family Medicine LLC is 1225348584. It was assigned to this organization in the NPPES registry on October 20, 2010. The provider is doing business as Family Medicine Center of Plymouth.

Where is Patel Family Medicine LLC located?

Patel Family Medicine LLC is located at 105 Water St, Plymouth, IN 46563. The listed phone number is (574) 936-3178.

What is Patel Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Patel Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2055893) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Patel Family Medicine LLC accept?

Health plans from CareSource list Patel Family Medicine 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 Patel Family Medicine LLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.