DIAMOND MEDICAL GROUP
NPI 1790297935
Family Medicine in Lafayette, IN

Active since October 27, 2017
830 PARK EAST BLVD, LAFAYETTE, IN 47905(219) 448-0369 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2018, Oct 27, 2017 (2 updates tracked since 2017).

About Diamond Medical Group NPPES

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

DIAMOND MEDICAL GROUP (NPI 1790297935) is a healthcare organization registered as a family medicine in Lafayette, Indiana and active in the NPI registry since October 2017. The organization lists Benerji Gudapati, Owner, as its authorized official.

NPPES Registry Identity

NPI1790297935
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIAMOND MEDICAL GROUP
Location Address830 PARK EAST BLVDLafayette, IN 47905-0778
Mailing Address3679 Wakefield DrWest Lafayette, IN 47906-8708 · (219) 448-0369
Organization SubpartNo
Authorized OfficialBenerji GudapatiOwner · (219) 448-0369
Enumeration DateOctober 27, 2017
Last NPPES UpdateFebruary 14, 20182 updates tracked since enumeration
✔ NPI 1790297935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
830 PARK EAST BLVD, Lafayette, IN 47905

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diamond Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Diamond Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hospitalist
NPI 1962459099
441 N WABASH
Marion, IN 46952
(765) 660-6000
✔ PECOS✔ Accepts Medicare62 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 Diamond Medical Group's NPI number?

The NPI number for Diamond Medical Group is 1790297935. It was assigned to this organization in the NPPES registry on October 27, 2017.

Where is Diamond Medical Group located?

Diamond Medical Group is located at 830 Park East Blvd, Lafayette, IN 47905. The listed phone number is (219) 448-0369.

What is Diamond Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Diamond Medical Group enrolled in Medicare?

Yes. Diamond Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diamond Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Diamond Medical Group. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diamond Medical Group was last updated on February 14, 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.