WOODWAY INTERNAL MEDICINE PC
NPI 1730509050
Internal Medicine in Muncie, IN

Active since April 25, 2014CLIA 15D0359955 · Waiver
4000 W WOODWAY DR, MUNCIE, IN 47304(765) 213-4950(765) 741-4658 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Woodway Internal Medicine Pc NPPES

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

WOODWAY INTERNAL MEDICINE PC (NPI 1730509050), doing business as Woodway Medical Group Pc, is a healthcare organization registered as an internal medicine in Muncie, Indiana and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Scott A Himes, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1730509050
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWOODWAY INTERNAL MEDICINE PC
Location Address4000 W WOODWAY DRMuncie, IN 47304-4264
Mailing Address4000 W Woodway DrMuncie, IN 47304-4264 · (765) 213-4950 · Fax (765) 741-4658
Fax(765) 741-4658
Organization SubpartNo
Authorized OfficialScott A HimesPractice Manager · (765) 213-4950
Enumeration DateApril 25, 2014
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1730509050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
4000 W WOODWAY DR, Muncie, IN 47304

Other Names 1

Former Legal Business NameWoodway Medical Group Pc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodway Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20140603001195Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Woodway Internal Medicine PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1265705404
4000 W WOODWAY DR
Muncie, IN 47304
(765) 289-5006
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1669524658
4000 W WOODWAY DR
Muncie, IN 47304
(765) 289-5006
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609476456
4000 W WOODWAY DR
Muncie, IN 47304
(765) 289-5006
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1902957400
4000 W WOODWAY DR
Muncie, IN 47304
(765) 289-5006
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235848086
11700 OLIO RD
Fishers, IN 46037
(317) 436-4950
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1568130615
8211 W STATE ROUTE 66 STE A
Newburgh, IN 47630
(812) 490-0463
✔ PECOS✔ Accepts Medicare186 mi

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

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 15D0359955

Woodway Internal Medicine · Muncie, IN
Active · expires Dec 31, 2027
CLIA Number15D0359955
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorHeather Hamilton
Laboratory Phone(765) 289-5006
Laboratory LocationWoodway Internal Medicine4000 W Woodway Dr, Muncie, IN 47304
CLIA data matches this NPI record on: Address 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 Woodway Internal Medicine PC's NPI number?

The NPI number for Woodway Internal Medicine PC is 1730509050. It was assigned to this organization in the NPPES registry on April 25, 2014. The provider was formerly known as Woodway Medical Group PC.

Where is Woodway Internal Medicine PC located?

Woodway Internal Medicine PC is located at 4000 W Woodway Dr, Muncie, IN 47304. The listed phone number is (765) 213-4950.

What is Woodway Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Woodway Internal Medicine PC enrolled in Medicare?

Yes. Woodway Internal Medicine PC is registered in the Medicare PECOS enrollment system.

When is Woodway Internal Medicine PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Woodway Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Woodway Internal Medicine PC. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Woodway Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0359955) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Woodway Internal Medicine PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Woodway 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 Woodway Internal Medicine PC was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.