IDEAL HEALTH CLINIC LLC
NPI 1235828385
Nurse Practitioner - Family in Indianapolis, IN
About Ideal Health Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDEAL HEALTH CLINIC LLC (NPI 1235828385) is a healthcare organization registered as a family in Indianapolis, Indiana and active in the NPI registry since May 2023. The organization lists Schani Manungo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ideal Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ideal Health Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ideal Health Clinic LLC's NPI number?
The NPI number for Ideal Health Clinic LLC is 1235828385. It was assigned to this organization in the NPPES registry on May 4, 2023.
Where is Ideal Health Clinic LLC located?
Ideal Health Clinic LLC is located at 3881 Eagle Creek Pkwy Ste A, Indianapolis, IN 46254. The listed phone number is (317) 730-3956.
What is Ideal Health Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ideal Health Clinic LLC enrolled in Medicare?
Yes. Ideal Health Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ideal Health Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ideal Health Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ideal Health Clinic LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ideal Health Clinic Llc · NPI 1235828385
Family organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since May 4, 2023.
## Identity
- **NPI:** 1235828385 (Entity type: Organization)
- **Enumerated:** May 4, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Schani Manungo, OWNER
## Practice location
- **Address:** 3881 EAGLE CREEK PKWY STE A, Indianapolis, IN 46254-5600
- **Phone:** (317) 730-3956
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235828385) · Data from the CMS NPPES public registry.