NORTH CLARK MEDICAL GROUP LLC
NPI 1376095711
General Practice in Jeffersonville, IN

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since November 02, 2016CLIA Certified · 4 labs

1802 E 10TH ST, JEFFERSONVILLE, IN 47130(812) 288-2488(812) 288-6603 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2026, Jun 20, 2025, Mar 26, 2025 and 16 more (19 updates tracked since 2016).

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About North Clark Medical Group Llc NPPES

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

NORTH CLARK MEDICAL GROUP LLC (NPI 1376095711) is a healthcare organization registered as a general practice in Jeffersonville, Indiana and active in the NPI registry since November 2016. The organization holds a CLIA Certificate of Compliance certificate valid through March 4, 2028, maintains 6 additional practice locations, and lists Suhas Gandhi, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1376095711

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameNORTH CLARK MEDICAL GROUP LLC

Location Address1802 E 10TH STJeffersonville, IN 47130-6016

Mailing Address2100 Market St Ste 101Charlestown, IN 47111-9535 · (812) 503-5100 · Fax (770) 573-9513

Phone(812) 288-2488

Fax(812) 288-6603

Organization SubpartNo

Authorized OfficialSuhas GandhiAuthorized Official · (502) 244-9859

Enumeration DateNovember 2, 2016

Last NPPES UpdateApril 9, 202619 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1376095711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

1802 E 10TH ST, Jeffersonville, IN 47130

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Secondary Practice Locations 6

Location 11806 E 10th StJeffersonville, IN 47130-6478 · Phone (812) 288-2488

Location 2645 S Roy Wilkins Ave Ste 200Louisville, KY 40203-2072 · Phone (812) 288-2488 · Fax (812) 288-6603

Location 31804 E 10th StJeffersonville, IN 47130-6016 · Phone (812) 288-2488 · Fax (812) 288-6603

Location 4106 E Jefferson StLA Grange, KY 40031-1445 · Phone (502) 233-3290 · Fax (812) 288-6603

Location 5815 Short StCharlestown, IN 47111-1241 · Phone (812) 503-5100 · Fax (812) 288-6603

Location 61211 W Broadway Ste ALouisville, KY 40203-2082 · Phone (502) 233-3290 · Fax (502) 470-5915

Other Identifiers 4

Medicaid7100535740KY

Medicaid300010664IN

OtherK258180KY · Medicare Ky

OtherIN3604IN · Medicare In

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 15D0900100
Facility Type: Physician Office
Certificate Effective Date: March 05, 2026
Certificate Expiration Date: March 04, 2028
Laboratory Director: DR. JAYESH SHETH
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to North Clark Medical Group Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.