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INDIANA PEDIATRIC ASSOCIATES, PC
NPI 1467589796
Pediatrics in Indiana, PA

Active since February 27, 2007CLIA Certified · 3 labs
2255 PHILADELPHIA ST STE A, INDIANA, PA 15701(724) 463-0476(742) 463-1196 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2026, Mar 6, 2026, Dec 2, 2022 (3 updates tracked since 2022).

About Indiana Pediatric Associates, Pc NPPES

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

INDIANA PEDIATRIC ASSOCIATES, PC (NPI 1467589796) is a healthcare organization registered as a pediatrics in Indiana, Pennsylvania and active in the NPI registry since February 2007. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jonna Keller, Officer Manager, as its authorized official.

NPPES Registry Identity

NPI1467589796
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameINDIANA PEDIATRIC ASSOCIATES, PC
Location Address2255 PHILADELPHIA ST STE AIndiana, PA 15701-1595
Mailing Address2255 Philadelphia St, Ste A And Ste BIndiana, PA 15701-1595 · (724) 463-0476 · Fax (742) 463-1196
Phone(724) 463-0476
Fax(742) 463-1196
Organization SubpartNo
Authorized OfficialJonna KellerOfficer Manager · (724) 463-0476
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1467589796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2255 PHILADELPHIA ST STE A, Indiana, PA 15701
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Secondary Practice Locations 2

Location 125 Colony Blvd Ste 108Blairsville, PA 15717-7971 · Phone (724) 459-6063
Location 22255 Philadelphia St Ste BIndiana, PA 15701-1595 · Phone (724) 463-0476

Other Identifiers 1

Medicaid1011670020001PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 39D2014669

Indiana Pediatric Associates PC · Indiana, PA
Active · expires Oct 13, 2026
CLIA Number39D2014669
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorDr. Christina B. Lubold
Laboratory Phone(724) 463-0476
Laboratory LocationIndiana Pediatric Associates PC2255 Philadelphia St, Ste B, Indiana, PA 15701
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 39D1030541

Indiana Pediatric Associates PC · Blairsville, PA
Active · expires Sep 7, 2026
CLIA Number39D1030541
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorChristopher P. Vaglia MD
Laboratory Phone(724) 459-6063
Laboratory LocationIndiana Pediatric Associates PC25 Colony Boulevard Suite 108, Blairsville, PA 15717
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 39D0181437

Indiana Pediatric Associates PC · Indiana, PA
Active · expires Aug 31, 2026
CLIA Number39D0181437
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Christina Lubold
Laboratory Phone(724) 463-0476
Laboratory LocationIndiana Pediatric Associates PC2255 Philadelphia Street, Ste A, Indiana, PA 15701
CLIA data matches this NPI record on: Address Name Phone
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 Indiana Pediatric Associates, PC's NPI number?

The NPI number for Indiana Pediatric Associates, PC is 1467589796. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Indiana Pediatric Associates, PC located?

Indiana Pediatric Associates, PC is located at 2255 Philadelphia St Ste A, Indiana, PA 15701. The listed phone number is (724) 463-0476.

What is Indiana Pediatric Associates, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Indiana Pediatric Associates, PC hold CLIA laboratory certificates?

Yes. 3 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.

When was this NPI record last updated?

The NPPES record for Indiana Pediatric Associates, PC was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.