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MICHIANA INTERNAL MEDICINE PC
NPI 1467571570
Clinic/Center - Primary Care in Elkhart, IN

Active since March 28, 2007CLIA 15D1072133 · Waiver
525 W BRISTOL ST, ELKHART, IN 46514(574) 295-5900(574) 295-5922 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michiana Internal Medicine Pc NPPES

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

MICHIANA INTERNAL MEDICINE PC (NPI 1467571570) is a healthcare organization registered as a primary care in Elkhart, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 8, 2027, maintains a secondary practice location in Elkhart, and lists Israr Azim Siddiqi, President, as its authorized official.

NPPES Registry Identity

NPI1467571570
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMICHIANA INTERNAL MEDICINE PC
Location Address525 W BRISTOL STElkhart, IN 46514-2964
Mailing Address525 W Bristol StElkhart, IN 46514-2964 · (574) 295-5900 · Fax (574) 295-5922
Phone(574) 295-5900
Fax(574) 295-5922
Organization SubpartNo
Authorized OfficialIsrar Azim SiddiqiPresident · (574) 295-5900
Enumeration DateMarch 28, 2007
Last NPPES UpdateJanuary 9, 2018
✔ NPI 1467571570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IN · 50004928A
525 W BRISTOL ST, Elkhart, IN 46514
Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 E Bristol St Ste BElkhart, IN 46514-3476 · Phone (574) 295-5900 · Fax (574) 295-5922

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 15D1072133

Michiana Internal Medicine, PC · Elkhart, IN
Active · expires Mar 8, 2027
CLIA Number15D1072133
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorIsrar A. Siddiqi
Laboratory Phone(574) 295-5900
Laboratory LocationMichiana Internal Medicine, PC525 W Bristol Street, Elkhart, IN 46514
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. TAMARA L RIESS NP
Nurse Practitioner (Adult Health)
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0239
DR. ISRAR AZIM SIDDIQI M.D.
Internal Medicine (Sleep Medicine)
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0329
MS. VICTORIA GONZALEZ
Nurse Practitioner (Family)
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0239
BEACON MEDICAL GROUP, INC.
Internal Medicine (Sleep Medicine)
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0239
REGIONAL HEALTH CARE PROFESSIONALS INC
Home Health
525 W BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 295-9999

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 Michiana Internal Medicine PC's NPI number?

The NPI number for Michiana Internal Medicine PC is 1467571570. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Michiana Internal Medicine PC located?

Michiana Internal Medicine PC is located at 525 W Bristol St, Elkhart, IN 46514. The listed phone number is (574) 295-5900.

What is Michiana Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Michiana Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1072133) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michiana Internal Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Michiana Internal Medicine PC 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 Michiana Internal Medicine PC was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.