LINCOLN RD. SURGEONS
NPI 1295935484
Clinic/Center - Ambulatory Surgical in Kokomo, IN

Active since July 25, 2007
2343 W LINCOLN RD, KOKOMO, IN 46902(765) 455-4090(765) 457-4443 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lincoln Rd. Surgeons NPPES

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

LINCOLN RD. SURGEONS (NPI 1295935484) is a healthcare organization registered as an ambulatory surgical in Kokomo, Indiana and active in the NPI registry since July 2007. The organization lists Andrew Kellar, Regional Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1295935484
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameST. JOSEPH PRIMARY LLC
Location Address2343 W LINCOLN RDKokomo, IN 46902-8012
Mailing Address2343 W Lincoln RdKokomo, IN 46902-8012 · (765) 455-4090 · Fax (765) 457-4443
Fax(765) 457-4443
Organization SubpartNo
Authorized OfficialAndrew KellarRegional Practice Administrator · (765) 457-8381
Enumeration DateJuly 25, 2007
Last NPPES UpdateNovember 16, 2007
✔ NPI 1295935484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2343 W LINCOLN RD, Kokomo, IN 46902

Other Names 1

Doing Business AsLincoln Rd. Surgeons

Other Identifiers 1

Other000000183506IN · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lincoln Rd. Surgeons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Lincoln Rd. Surgeons, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Anesthesiology13
Certified Registered Nurse Anesthetist (CRNA)3
Nurse Practitioner2
Emergency Medicine1

Clinicians, nearest first (19)

Anesthesiology
NPI 1114925393
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ PECOS✔ Accepts Medicare2.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790588150
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 452-5611
✔ Accepts Medicare2.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003411604
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ Accepts Medicare2.2 mi
Anesthesiology
NPI 1285775734
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ PECOS✔ Accepts Medicare2.3 mi
Anesthesiology
NPI 1417939554
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ PECOS✔ Accepts Medicare2.3 mi
Anesthesiology
NPI 1598256448
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ PECOS✔ Accepts Medicare2.3 mi
Anesthesiology
NPI 1467473330
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ PECOS✔ Accepts Medicare2.3 mi
Anesthesiology
NPI 1780941542
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ PECOS✔ Accepts Medicare2.3 mi
Anesthesiology
NPI 1902857162
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5273
✔ PECOS✔ Accepts Medicare2.3 mi
Anesthesiology
NPI 1154647998
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ PECOS✔ Accepts Medicare2.3 mi
Emergency Medicine
NPI 1750391918
1907 W SYCAMORE ST
Kokomo, IN 46901
(765) 456-5433
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1558905554
313 S BERKLEY RD
Kokomo, IN 46901
(765) 457-4673
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1215234752
8414 NAAB RD
Indianapolis, IN 46260
(317) 338-7510
✔ PECOS✔ Accepts Medicare38 mi
Anesthesiology
NPI 1245342401
8040 CLEARVISTA PKWY
Indianapolis, IN 46256
(317) 567-2180
✔ PECOS✔ Accepts Medicare39 mi
Anesthesiology
NPI 1417988270
1701 SENATE BLVD
Indianapolis, IN 46202
(317) 567-2180
✔ PECOS✔ Accepts Medicare46 mi
Anesthesiology
NPI 1730477324
2451 INTELLIPLEX DR
Shelbyville, IN 46176
(317) 392-3211
✔ PECOS✔ Accepts Medicare65 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821552993
525 E MARKET ST
Akron, OH 44304
(330) 375-3000
✔ Accepts Medicare248 mi
Anesthesiology
NPI 1225086838
4401 S WESTERN AVE
Oklahoma City, OK 73109
(405) 636-7000
✔ PECOS✔ Accepts Medicare711 mi
Anesthesiology
NPI 1063613727
3601 4TH ST STOP 6238
Lubbock, TX 79430
(806) 743-4263
✔ PECOS✔ Accepts Medicare988 mi

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 St. Joseph Primary LLC's NPI number?

The NPI number for St. Joseph Primary LLC is 1295935484. It was assigned to this organization in the NPPES registry on July 25, 2007. The provider is doing business as Lincoln Rd. Surgeons.

Where is St. Joseph Primary LLC located?

St. Joseph Primary LLC is located at 2343 W Lincoln Rd, Kokomo, IN 46902. The listed phone number is (765) 455-4090.

What is St. Joseph Primary LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is St. Joseph Primary LLC enrolled in Medicare?

Yes. St. Joseph Primary LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Joseph Primary LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to St. Joseph Primary 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 Anesthesiology (13), Certified Registered Nurse Anesthetist (CRNA) (3) and Nurse Practitioner (2). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St. Joseph Primary LLC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.