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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RENOVAR WELLNESS LLC
NPI 1588528699
Psychiatry & Neurology - Psychiatry in Elkhart, IN

Active since December 12, 2025
1750 KILBOURN ST, ELKHART, IN 46514(574) 387-6260(800) 562-9560 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2026, Dec 12, 2025 (2 updates tracked since 2025).

About Renovar Wellness Llc NPPES

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

RENOVAR WELLNESS LLC (NPI 1588528699) is a healthcare organization registered as a psychiatry in Elkhart, Indiana and active in the NPI registry since December 2025. The organization lists Abdul Malik, Md, as its authorized official.

NPPES Registry Identity

NPI1588528699
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameRENOVAR WELLNESS LLC
Location Address1750 KILBOURN STElkhart, IN 46514-1920
Mailing Address1750 Kilbourn StElkhart, IN 46514-1920 · (574) 387-6260
Phone(574) 387-6260
Fax(800) 562-9560
Organization SubpartNo
Authorized OfficialAbdul MalikMd · (574) 849-5063
Enumeration DateDecember 12, 2025
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1588528699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1750 KILBOURN ST, Elkhart, IN 46514
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Renovar Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Renovar Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Shauntel Marcin
Nurse Practitioner
NPI 1689305948
221 RED COACH DR STE E
Mishawaka, IN 46545
(574) 335-7630
✔ PECOS✔ Accepts Medicare9.4 mi
Jennifer Curtis, MSW LCSW
Clinical Social Worker
NPI 1619048246
221 RED COACH DR STE E
Mishawaka, IN 46545
(574) 335-7630
✔ PECOS✔ Accepts Medicare9.4 mi
Abdul Malik, M.D.
Psychiatry
NPI 1952300584
550 MUNSON AVE
Traverse City, MI 49686
(231) 935-6600
✔ PECOS✔ Accepts Medicare213 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Renovar Wellness LLC's NPI number?

The NPI number for Renovar Wellness LLC is 1588528699. It was assigned to this organization in the NPPES registry on December 12, 2025.

Where is Renovar Wellness LLC located?

Renovar Wellness LLC is located at 1750 Kilbourn St, Elkhart, IN 46514. The listed phone number is (574) 387-6260.

What is Renovar Wellness LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Renovar Wellness LLC enrolled in Medicare?

Yes. Renovar Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renovar Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Renovar Wellness LLC, in Clinical Social Worker, Nurse Practitioner and Psychiatry. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renovar Wellness LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Renovar Wellness 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 Renovar Wellness LLC was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.