PATEL FAMILY MEDICINE LLC
NPI 1225348584
Clinic/Center in Plymouth, IN
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, maintains a secondary practice location in South Bend, and lists Kimberly Miller, Director Or Rcm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patel Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Patel Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (11)
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 of Waiver 15D2055893
Patel Family Medicine Ctr Of Plymouth · Plymouth, INFrequently 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.
Is Patel Family Medicine LLC enrolled in Medicare?
Yes. Patel Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Patel Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Patel Family Medicine LLC. 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 Internal Medicine (4), Family Practice (3) and Hospitalist (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anthem Blue Cross and Blue Shield and 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 August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Patel Family Medicine Llc · NPI 1225348584
Clinic/Center organization in Plymouth, Indiana. Organization record, active in the CMS NPPES registry since October 20, 2010.
## Identity
- **NPI:** 1225348584 (Entity type: Organization)
- **Enumerated:** October 20, 2010
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Family Medicine Center of Plymouth (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kimberly Miller, DIRECTOR OR RCM
## Practice location
- **Address:** 105 WATER ST, Plymouth, IN 46563-2148
- **Phone:** (574) 936-3178 · **Fax:** (574) 936-1084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (4), Family Practice (3), Hospitalist (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225348584) · Data from the CMS NPPES public registry.