MEDSTAT
NPI 1902204076
Clinic/Center - Urgent Care in Warsaw, IN

NPI Status: Active since December 05, 2014

Contact Information

1500 PROVIDENT DR
SUITE A
WARSAW, IN
ZIP 46580
Phone: (574) 372-7637

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 15D2038922
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-27-2026

About MEDSTAT

This page provides the complete NPI Profile along with additional information for Medstat, a provider established in Warsaw, Indiana operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1902204076 assigned on December 2014. The practitioner's primary taxonomy code is 261QU0200X with license number 71005240A (IN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Megan Martin (Director)

NPI
1902204076
Provider Name
MEDSTAT
Entity Type
Organization
Location Address
1500 PROVIDENT DR SUITE A WARSAW, IN 46580
Location Phone
(574) 372-7637
Mailing Address
1500 PROVIDENT DR SUITE A WARSAW, IN 46580
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2014
Last Update Date
12-05-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
71005240A
License State
IN

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MEGAN MARTIN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(574) 372-7638

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2038922
Facility Type
Physician Office
Certificate Effective Date
March 28, 2024
Certificate Expiration Date
March 27, 2026
Laboratory Director
SCOTT H. EHMEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medstat to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEDSTAT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902204076, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 4 + 0 + 8 + 0 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1902204076.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
1500 PROVIDENT DR
WARSAW, IN 46580
Durable Medical Equipment & Medical Supplies
1500 PROVIDENT DR, SUITE B
WARSAW, IN 46580
Physician Assistant
1500 PROVIDENT DR, SUITE A
WARSAW, IN 46580
Occupational Therapist (Physical Rehabilitation)
1500 PROVIDENT DR
WARSAW, IN 46580
Specialist/Technologist (Athletic Trainer)
1500 PROVIDENT DR, SUITE C
WARSAW, IN 46580
Specialist/Technologist (Athletic Trainer)
1500 PROVIDENT DR
WARSAW, IN 46580
Family Medicine
1500 PROVIDENT DR, SUITE A
WARSAW, IN 46580
Dietitian, Registered
1500 PROVIDENT DR
WARSAW, IN 46580
Physical Therapist
1500 PROVIDENT DR
WARSAW, IN 46580
Nurse Practitioner (Family)
1500 PROVIDENT DR
WARSAW, IN 46580
Non-Pharmacy Dispensing Site
1500 PROVIDENT DR
WARSAW, IN 46580
Family Medicine
1500 PROVIDENT DR, SUITE A
WARSAW, IN 46580

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902204076, enumerated as an "organization" on December 05, 2014.

The provider is located at 1500 PROVIDENT DR SUITE A WARSAW, IN 46580 and the phone number is (574) 372-7637.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.