PROVIDENCE MEDICAL GROUP LLC
NPI 1891729141
Clinic/Center - Multi-Specialty in Terre Haute, IN
About Providence Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE MEDICAL GROUP LLC (NPI 1891729141) is a healthcare organization registered as a multi-specialty in Terre Haute, Indiana and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists George B Bittar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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)
Providence Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Providence Medical Group LLC, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 30Source: 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 3
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 15D1106412
Providence Medical Group · Terre Haute, INCertificate of Waiver 15D1046178
Providence Medical Group · Terre Haute, INCertificate of Waiver 15D0693264
Providence Medical Group · Terre Haute, INFrequently 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 Providence Medical Group LLC's NPI number?
The NPI number for Providence Medical Group LLC is 1891729141. It was assigned to this organization in the NPPES registry on July 11, 2006.
Where is Providence Medical Group LLC located?
Providence Medical Group LLC is located at 2723 S 7th St Suite A, Terre Haute, IN 47802. The listed phone number is (812) 232-8164.
What is Providence Medical Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Providence Medical Group LLC enrolled in Medicare?
Yes. Providence Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 9 Medicare specialties reassign their Medicare billing to Providence Medical Group 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. The largest specialties are Nurse Practitioner (11), Cardiovascular Disease (Cardiology) (7) and Internal Medicine (3). Of these, 23 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Providence Medical Group LLC hold CLIA laboratory certificates?
Yes. 3 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.
What insurance does Providence Medical Group LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Providence Medical Group 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 Providence Medical Group LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.
# Providence Medical Group Llc · NPI 1891729141
Multi-Specialty organization in Terre Haute, Indiana. Organization record, active in the CMS NPPES registry since July 11, 2006.
## Identity
- **NPI:** 1891729141 (Entity type: Organization)
- **Enumerated:** July 11, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** George Bittar, OWNER
## Practice location
- **Address:** 2723 S 7TH ST, SUITE A, Terre Haute, IN 47802-3558
- **Phone:** (812) 232-8164 · **Fax:** (812) 234-6391
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Cardiovascular Disease (Cardiology) (7), Internal Medicine (3); 23 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1891729141/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 200261130 (IN); Other CG4466 (IN); Other CH9272 (IN); and 1 more
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891729141) · Data from the CMS NPPES public registry.