POWERS HEALTH MEDICAL GROUP
NPI 1457610487
Family Medicine in St John, IN

Active since May 11, 2012CLIA 15D0968537 · Waiver
9660 WICKER AVE, ST JOHN, IN 46373(219) 365-7620(219) 226-2287 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Powers Health Medical Group NPPES

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

POWERS HEALTH MEDICAL GROUP (NPI 1457610487) is a healthcare organization registered as a family medicine in St John, Indiana and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Alan Madhur Kumar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457610487
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY CARE NETWORK INC
Location Address9660 WICKER AVESt John, IN 46373-9487
Mailing Address9660 Wicker AveSt John, IN 46373-9487 · (219) 365-7620 · Fax (219) 226-2287
Fax(219) 226-2287
Organization SubpartNo
Authorized OfficialAlan Madhur KumarAdministrator · (219) 703-1619
Enumeration DateMay 11, 2012
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1457610487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedMidwifeTaxonomy 176B00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X
9660 WICKER AVE, St John, IN 46373

Other Names 1

Doing Business AsPowers Health Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 15D0968537

Community Care Center · St John, IN
Active · expires Aug 17, 2026
CLIA Number15D0968537
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorMark A. Feldner
Laboratory Phone(219) 365-1166
Laboratory LocationCommunity Care Center9660 Wicker Ave, St John, IN 46373
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9660 WICKER AVE
ST JOHN, IN 46373
Family Medicine
9660 WICKER AVE
ST JOHN, IN 46373
Family Medicine
9660 WICKER AVE
ST JOHN, IN 46373
Family Medicine
9660 WICKER AVE
ST JOHN, IN 46373
Clinical Nurse Specialist (Adult Health)
9660 WICKER AVE
SAINT JOHN, IN 46373
Orthopaedic Surgery
9660 WICKER AVE
SAINT JOHN, IN 46373
Emergency Medicine
9660 WICKER AVE
ST. JOHN, IN 46373
Family Medicine
9660 WICKER AVE, STE 100E
ST JOHN, IN 46373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457610487, enumerated as an "organization" on May 11, 2012.

The provider is located at 9660 WICKER AVE ST JOHN, IN 46373 and the phone number is (219) 365-7620.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.