NORTH INDIANA RETINA LLC
NPI 1316822216
Ophthalmology in Mishawaka, IN

Q: What is North Indiana Retina LLC's NPI number?

The NPI number for North Indiana Retina LLC is 1316822216. It was assigned to this organization in the NPPES registry on August 8, 2025.

Q: What is North Indiana Retina LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since August 08, 2025

303 S MAIN ST STE 215, MISHAWAKA, IN 46544(574) 291-4000(260) 279-3211 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2026, Aug 8, 2025 (2 updates tracked since 2025).

On this page

About North Indiana Retina Llc NPPES

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

NORTH INDIANA RETINA LLC (NPI 1316822216) is a healthcare organization registered as an ophthalmology in Mishawaka, Indiana and active in the NPI registry since August 2025. The organization lists Philip Kurochkin, Owner, as its authorized official.

NPPES Registry Identity

NPI1316822216

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameNORTH INDIANA RETINA LLC

Location Address303 S MAIN ST STE 215Mishawaka, IN 46544-2160

Mailing Address303 S Main StMishawaka, IN 46544-2189

Phone(574) 291-4000

Fax(260) 279-3211

Organization SubpartNo

Authorized OfficialPhilip KurochkinOwner · (347) 541-4133

Enumeration DateAugust 8, 2025

Last NPPES UpdateJanuary 18, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2026

✔ NPI 1316822216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

303 S MAIN ST STE 215, Mishawaka, IN 46544

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

North Indiana Retina Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to North Indiana Retina LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Philip Kurochkin, MD

Ophthalmology

NPI 1962931303

303 S MAIN ST STE 215
Mishawaka, IN 46544

(574) 291-4000

✔ PECOS✔ Accepts MedicareSame address

Jason So, MD

Ophthalmology

NPI 1801282249

2848 NILES RD
Saint Joseph, MI 49085

(269) 428-3300

✔ PECOS✔ Accepts Medicare32 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 North Indiana Retina LLC's NPI number?

The NPI number for North Indiana Retina LLC is 1316822216. It was assigned to this organization in the NPPES registry on August 8, 2025.

Where is North Indiana Retina LLC located?

North Indiana Retina LLC is located at 303 S Main St Ste 215, Mishawaka, IN 46544. The listed phone number is (574) 291-4000.

What is North Indiana Retina LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is North Indiana Retina LLC enrolled in Medicare?

Yes. North Indiana Retina LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Indiana Retina LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to North Indiana Retina 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does North Indiana Retina LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list North Indiana Retina 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 North Indiana Retina LLC was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.