NORTH CLARK MEDICAL GROUP LLC
NPI 1376095711
General Practice in Jeffersonville, IN
NPI Status: Active since November 02, 2016
Contact Information
1802 E 10TH ST
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 288-2488
Fax: (812) 288-6603
- Organization
- General Practice
- Accepts Insurance
- CLIA Number: 15D0900100
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-04-2028
About NORTH CLARK MEDICAL GROUP LLC
This page provides the complete NPI Profile along with additional information for North Clark Medical Group Llc, a primary care provider established in Jeffersonville, Indiana operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1376095711 assigned on November 2016. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Suhas Gandhi (Authorized Official)
- NPI
- 1376095711
- Provider Name
- NORTH CLARK MEDICAL GROUP LLC
- Entity Type
- Organization
- Location Address
- 1802 E 10TH ST JEFFERSONVILLE, IN 47130
- Location Phone
- (812) 288-2488
- Location Fax
- (812) 288-6603
- Mailing Address
- 2100 MARKET ST STE 101 CHARLESTOWN, IN 47111
- Mailing Phone
- (812) 503-5100
- Mailing Fax
- (812) 288-6603
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-02-2016
- Last Update Date
- 04-09-2026
- Code Navigator
A primary care provider (PCP) like North Clark Medical Group Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 1806 E 10th St
Jeffersonville, IN 47130
(812) 288-2488 - 645 S Roy Wilkins Ave Ste 200
Louisville, KY 40203
(812) 288-2488 - 1804 E 10th St
Jeffersonville, IN 47130
(812) 288-2488 - 106 E Jefferson St
LA Grange, KY 40031
(502) 233-3290 - 815 Short St
Charlestown, IN 47111
(812) 503-5100 - 1211 W Broadway Ste A
Louisville, KY 40203
(502) 233-3290
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 4 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 5 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 6 | 251B00000X | Agencies | Case Management | |
| 7 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 8 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 9 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | |
| 10 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 11 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 12 | 291U00000X | Laboratories | Clinical Medical Laboratory | |
| 13 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| 14 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Catastrophic Essential (+ Incentives) - HMO
- Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100535740 | MEDICAID (05) | KY | |
| 300010664 | MEDICAID (05) | IN | |
| K258180 | OTHER (01) | KY | MEDICARE KY |
| IN3604 | OTHER (01) | IN | MEDICARE IN |
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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1376095711, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376095711, enumerated as an "organization" on November 02, 2016.
The provider is located at 1802 E 10TH ST JEFFERSONVILLE, IN 47130 and the phone number is (812) 288-2488.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
