PREMISE HEALTH OF INDIANA MEDICAL PC
NPI 1659955540
Clinic/Center - Multi-Specialty in Indianapolis, IN

Q: What is Premise Health Of Indiana Medical PC's NPI number?

The NPI number for Premise Health Of Indiana Medical PC is 1659955540. It was assigned to this organization in the NPPES registry on May 7, 2021. The provider is doing business as Monarch Well Works powered by Premise Health.

Q: What is Premise Health Of Indiana Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since May 07, 2021CLIA Certified · 2 labs

430 FINTAIL DR, INDIANAPOLIS, IN 46219(317) 612-3193(317) 612-3270 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2024, Aug 25, 2022, May 7, 2021 (3 updates tracked since 2021).

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About Premise Health Of Indiana Medical Pc NPPES

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

PREMISE HEALTH OF INDIANA MEDICAL PC (NPI 1659955540), doing business as Monarch Well Works Powered By Premise Health, is a healthcare organization registered as a multi-specialty in Indianapolis, Indiana and active in the NPI registry since May 2021. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1659955540

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC

Location Address430 FINTAIL DRIndianapolis, IN 46219-6207

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(317) 612-3193

Fax(317) 612-3270

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateMay 7, 2021

Last NPPES UpdateFebruary 13, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1659955540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

430 FINTAIL DR, Indianapolis, IN 46219

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Other Names 1

Doing Business AsMonarch Well Works Powered By Premise Health

CLIA Laboratory Certificates CMS CLIA 2

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 15D2176524

Premise Health Of Indiana Medical, PC · Indianapolis, IN

Active · expires Dec 16, 2027

CLIA Number15D2176524

Laboratory TypePhysician Office

Certificate Effective DateDecember 17, 2025

Certificate Expiration DateDecember 16, 2027

Laboratory DirectorMelissa Peters

Laboratory Phone(317) 612-3193

Laboratory LocationPremise Health Of Indiana Medical, PC430 Fintail Dr, Indianapolis, IN 46219

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 15D2261511

Premise Health Of Indiana Medical, PC · Indianapolis, IN

Active · expires May 31, 2028

CLIA Number15D2261511

Laboratory TypePhysician Office

Certificate Effective DateJune 1, 2026

Certificate Expiration DateMay 31, 2028

Laboratory DirectorMary Anne Snyder

Laboratory Phone(317) 895-7173

Laboratory LocationPremise Health Of Indiana Medical, PC8677 Impact Court, Indianapolis, IN 46219

CLIA data matches this NPI record on: Name

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 Premise Health Of Indiana Medical PC's NPI number?

The NPI number for Premise Health Of Indiana Medical PC is 1659955540. It was assigned to this organization in the NPPES registry on May 7, 2021. The provider is doing business as Monarch Well Works powered by Premise Health.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 430 Fintail Dr, Indianapolis, IN 46219. The listed phone number is (317) 612-3193.

What is Premise Health Of Indiana Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Indiana Medical PC hold CLIA laboratory certificates?

Yes. 2 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 Premise Health Of Indiana Medical PC was last updated on February 13, 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.