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

NPI Status: Active since October 20, 2010

Contact Information

105 WATER ST
PLYMOUTH, IN
ZIP 46563
Phone: (574) 936-3178
Fax: (574) 936-1084

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 15D2055893
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-18-2027

About PATEL FAMILY MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Patel Family Medicine Llc, a provider established in Plymouth, Indiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1225348584 assigned on October 2010. The practitioner's primary taxonomy code is 261Q00000X with license number 01063921A (IN). The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Kimberly Miller (Director Or Rcm)

NPI
1225348584
Provider Legal Name
PATEL FAMILY MEDICINE LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
105 WATER ST PLYMOUTH, IN 46563
Location Phone
(574) 936-3178
Location Fax
(574) 936-1084
Mailing Address
PO BOX 7412494 CHICAGO, IL 60674
Mailing Phone
(248) 607-0037
Mailing Fax
(574) 936-1084
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2010
Last Update Date
03-19-2026
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
01063921A
License State
IN
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KIMBERLY MILLER

Authorized Official Title
DIRECTOR OR RCM
Authorized Official Phone
(248) 331-7908

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2055893
Facility Type
Physician Office
Certificate Effective Date
March 19, 2025
Certificate Expiration Date
March 18, 2027
Laboratory Director
DR. VIRAJ S PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Patel Family Medicine Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PATEL FAMILY MEDICINE LLC

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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 1225348584, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 2 → 4 3 → 6 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 6 + 4 + 1 + 6 + 5 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1225348584.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225348584, enumerated as an "organization" on October 20, 2010.

The provider is located at 105 WATER ST PLYMOUTH, IN 46563 and the phone number is (574) 936-3178.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.