COZE HEALTH MEDICAL, LLC
NPI 1356817894
Family Medicine in West Lafayette, IN
About Coze Health Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COZE HEALTH MEDICAL, LLC (NPI 1356817894) is a healthcare organization registered as a family medicine in West Lafayette, Indiana and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Timothy B O'donnell, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 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)
Coze Health Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Coze Health Medical, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
West Lafayette, IN 47906
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 15D2165591
Coze Health Medical LLC · West Lafayette, 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 Coze Health Medical, LLC's NPI number?
The NPI number for Coze Health Medical, LLC is 1356817894. It was assigned to this organization in the NPPES registry on October 23, 2018.
Where is Coze Health Medical, LLC located?
Coze Health Medical, LLC is located at 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906. The listed phone number is (765) 204-1122.
What is Coze Health Medical, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Coze Health Medical, LLC enrolled in Medicare?
Yes. Coze Health Medical, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coze Health Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Coze Health Medical, LLC, in Family Practice and Internal Medicine. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coze Health Medical, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2165591) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coze Health Medical, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Coze Health Medical, 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 Coze Health Medical, LLC was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Coze Health Medical, Llc · NPI 1356817894
Family Medicine organization in West Lafayette, Indiana. Organization record, active in the CMS NPPES registry since October 23, 2018.
## Identity
- **NPI:** 1356817894 (Entity type: Organization)
- **Enumerated:** October 23, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Timothy O'donnell, PHYSICIAN/OWNER
## Practice location
- **Address:** 156 SAGAMORE PKWY W STE A, West Lafayette, IN 47906-1569
- **Phone:** (765) 204-1122 · **Fax:** (765) 205-8322
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2020
- **Other identifiers:** Other 01066964A (IN); Other 01072209A (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356817894) · Data from the CMS NPPES public registry.