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

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: October 25, 2026.

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

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 4 active CLIA laboratory certificates, 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
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1815 Short StCharlestown, IN 47111-1241 · Phone (812) 503-5100 · Fax (812) 288-6603
Location 21804 E 10th StJeffersonville, IN 47130-6016 · Phone (812) 288-2488 · Fax (812) 288-6603
Location 3106 E Jefferson StLA Grange, KY 40031-1445 · Phone (502) 233-3290 · Fax (812) 288-6603
Location 41806 E 10th StJeffersonville, IN 47130-6478 · Phone (812) 288-2488
Location 51211 W Broadway Ste ALouisville, KY 40203-2082 · Phone (502) 233-3290 · Fax (502) 470-5915
Location 6645 S Roy Wilkins Ave Ste 200Louisville, KY 40203-2072 · Phone (812) 288-2488 · Fax (812) 288-6603

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 Health, Ambetter of Tennessee and more.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 Clark Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to North Clark Medical Group LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner19
Diagnostic Radiology6
Certified Registered Nurse Anesthetist (CRNA)4
Family Practice3
General Practice3
Internal Medicine2
Psychiatry2
Cardiovascular Disease (Cardiology)1
6 other specialties6

Nearest to this location (20)

See all 46
Anas Alzuhaili, M.D.
Family Practice
NPI 1417188491
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOS✔ Accepts MedicareSame address
Amy Chrisman, APRN
Nurse Practitioner
NPI 1710230339
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 503-5100
✔ PECOSSame address
Darin Harden, MD
General Practice
NPI 1194702381
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOS✔ Accepts MedicareSame address
Syed Kazmi, M.D.
Internal Medicine
NPI 1487619888
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOS✔ Accepts MedicareSame address
Amy Martin, PMHNP-BC
Nurse Practitioner
NPI 1770130122
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOS✔ Accepts MedicareSame address
Sanjay Patel, DC
Chiropractic
NPI 1467404772
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ Accepts MedicareSame address
Uzma Chaudhry, MD
General Practice
NPI 1689832024
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOSSame address
Carolyn Fegenbush, ARNP
Nurse Practitioner
NPI 1629009790
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOS✔ Accepts MedicareSame address
Robert Mcquady, M.D
Obstetrics/Gynecology
NPI 1962588574
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOSSame address
Denise Wilburn
Nurse Practitioner
NPI 1417984758
1802 E 10TH ST
Jeffersonville, IN 47130
(812) 288-2488
✔ PECOS✔ Accepts MedicareSame address
Kochurani Thomas, APRN
Nurse Practitioner
NPI 1699315531
517 LITTLE LEAGUE BLVD
Clarksville, IN 47129
(812) 282-8406
✔ PECOS✔ Accepts Medicare2.1 mi
Zaka Rahman, MD
Cardiovascular Disease (Cardiology)
NPI 1376531194
207 SPARKS AVE STE 101
Jeffersonville, IN 47130
(812) 284-5411
✔ PECOS✔ Accepts Medicare2.2 mi
Matthew Thompson, DO
Pathology
NPI 1568662583
231 E CHESTNUT ST PATHOLOGY DEPT
Louisville, KY 40202
(502) 456-2008
✔ PECOS✔ Accepts Medicare4.2 mi
Nichole King
Nurse Practitioner
NPI 1801173398
2676 CHARLESTOWN RD STE 2A
New Albany, IN 47150
(812) 725-7034
✔ PECOS✔ Accepts Medicare4.5 mi
Angela Urhammer, APRN
Nurse Practitioner
NPI 1881839108
645 S ROY WILKINS AVE STE 200
Louisville, KY 40203
(502) 561-0520
✔ PECOS✔ Accepts Medicare4.6 mi
Suhail Haque, MD
Pain Management
NPI 1821048513
645 S ROY WILKINS AVE
Louisville, KY 40203
(502) 561-0520
✔ PECOS✔ Accepts Medicare4.6 mi
Asad Ismail, MD
Psychiatry
NPI 1144227026
645 S ROY WILKINS AVE STE 200
Louisville, KY 40203
(502) 561-0520
✔ PECOS✔ Accepts Medicare4.6 mi
Lynne Lanham
Nurse Practitioner
NPI 1285227728
2133 W MARKET ST
Louisville, KY 40212
(502) 384-5807
✔ PECOS✔ Accepts Medicare4.7 mi
Darshana Sheth, MD
Family Practice
NPI 1841221009
6823 HIGHWAY 311
Sellersburg, IN 47172
(812) 246-9809
✔ PECOS5.5 mi
Natalie Stone, APRN
Nurse Practitioner
NPI 1588376396
3211 GRANT LINE RD STE 15
New Albany, IN 47150
(812) 221-1186
✔ PECOS✔ Accepts Medicare5.5 mi
See all 46 clinicians

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 4

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 Compliance 15D0900100

North Clark Medical Group · Jeffersonville, IN
Active · expires Mar 4, 2028
CLIA Number15D0900100
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorDr. Jayesh Sheth
Laboratory Phone(812) 288-2488
Laboratory LocationNorth Clark Medical Group1804 E 10th Street, Jeffersonville, IN 47130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 15D2107916

North Clark Medical Group, LLC · Charlestown, IN
Active · expires Jan 25, 2028
CLIA Number15D2107916
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorDr. Asad Ismail
Laboratory Phone(812) 288-2488
Laboratory LocationNorth Clark Medical Group, LLC2100 Market Street, Charlestown, IN 47111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2070284

North Clark Medical Group, LLC · Jeffersonville, IN
Active · expires Dec 11, 2027
CLIA Number15D2070284
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDr. Syed Kazmi
Laboratory Phone(812) 288-2488
Laboratory LocationNorth Clark Medical Group, LLC1802 E 10th Street, Jeffersonville, IN 47130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2221366

North Clark Medical Group LLC, Dba Get Well Recovery · Louisville, KY
Active · expires Apr 20, 2027
CLIA Number18D2221366
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorDr. Mariano Galang
Laboratory Phone(502) 561-0520
Laboratory LocationNorth Clark Medical Group LLC, Dba Get Well Recovery1211 W Broadway Ste A, Louisville, KY 40203
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Clark Medical Group LLC's NPI number?

The NPI number for North Clark Medical Group LLC is 1376095711. It was assigned to this organization in the NPPES registry on November 2, 2016.

Where is North Clark Medical Group LLC located?

North Clark Medical Group LLC is located at 1802 E 10th St, Jeffersonville, IN 47130. The listed phone number is (812) 288-2488.

What is North Clark Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is North Clark Medical Group LLC enrolled in Medicare?

Yes. North Clark Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Clark Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 14 Medicare specialties reassign their Medicare billing to North Clark Medical Group 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 Nurse Practitioner (19), Diagnostic Radiology (6) and Certified Registered Nurse Anesthetist (CRNA) (4). Of these, 10 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Clark Medical Group LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does North Clark Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list North Clark Medical Group 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 Clark Medical Group LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.