1. Home
  2. Directory
  3. Indiana
  4. Goshen
  5. Internal Medicine
  6. NPI Profile

GOSHEN MEDICAL PRACTICE,LLC
NPI 1861582694
Internal Medicine in Goshen, IN

Active since October 13, 2006CLIA 15D1019882 · Waiver
2240 KARISA DR, SUITE1, GOSHEN, IN 46526(574) 534-6757(574) 537-0357 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Goshen Medical Practice,llc NPPES

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

GOSHEN MEDICAL PRACTICE,LLC (NPI 1861582694) is a healthcare organization registered as an internal medicine in Goshen, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Dicky G Bhagat, Sole Properitor Of Llc, as its authorized official.

NPPES Registry Identity

NPI1861582694
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGOSHEN MEDICAL PRACTICE,LLC
Location Address2240 KARISA DR, SUITE1Goshen, IN 46526-6943
Mailing Address2240 Karisa Dr, Suite1Goshen, IN 46526-6943 · (574) 534-6757 · Fax (574) 537-0357
Phone(574) 534-6757
Fax(574) 537-0357
Organization SubpartNo
Authorized OfficialDicky G BhagatSole Properitor Of Llc · (574) 534-6757
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1861582694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01054743A
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.
2240 KARISA DR, Goshen, IN 46526
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Goshen Medical Practice,llc 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 Goshen Medical Practice,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dicky Bhagat, M.D
Internal Medicine
NPI 1518960525
2240 KARISA DR SUITE 1
Goshen, IN 46526
(574) 534-6757
✔ PECOS✔ Accepts MedicareSame address

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 15D1019882

Goshen Medical Practice · Goshen, IN
Active · expires Dec 2, 2027
CLIA Number15D1019882
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorDicky G. Bhagat
Laboratory Phone(574) 534-6757
Laboratory LocationGoshen Medical Practice2240 Karisa Dr Ste 1, Goshen, IN 46526
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 Goshen Medical Practice,llc's NPI number?

The NPI number for Goshen Medical Practice,llc is 1861582694. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Goshen Medical Practice,llc located?

Goshen Medical Practice,llc is located at 2240 Karisa Dr Suite1, Goshen, IN 46526. The listed phone number is (574) 534-6757.

What is Goshen Medical Practice,llc's specialty?

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

Is Goshen Medical Practice,llc enrolled in Medicare?

Yes. Goshen Medical Practice,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goshen Medical Practice,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Goshen Medical Practice,llc. 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.

Does Goshen Medical Practice,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1019882) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Goshen Medical Practice,llc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Goshen Medical Practice,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 Goshen Medical Practice,llc was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.