KOSCIUSKO MEDICAL GROUP LLC
NPI 1932349594
Family Medicine in Warsaw, IN

Active since February 23, 2009
2235 DUBOIS DR, WARSAW, IN 46580(574) 267-8189 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2024, Nov 12, 2021, Feb 12, 2021 and 2 more (5 updates tracked since 2017).

About Kosciusko Medical Group Llc NPPES

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

KOSCIUSKO MEDICAL GROUP LLC (NPI 1932349594) is a healthcare organization registered as a family medicine in Warsaw, Indiana and active in the NPI registry since February 2009. The organization lists Kristina Music, Sr Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1932349594
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKOSCIUSKO MEDICAL GROUP LLC
Location Address2235 DUBOIS DRWarsaw, IN 46580-3212
Mailing Address6920 Pointe Inverness Way, Suite 200Fort Wayne, IN 46804-7934 · (260) 479-3513 · Fax (260) 479-3520
Organization SubpartNo
Authorized OfficialKristina MusicSr Director Provider Enrollment · (615) 465-7377
Enumeration DateFebruary 23, 2009
Last NPPES UpdateOctober 1, 20245 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1932349594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.
Also ListedSpecialistTaxonomy 174400000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2235 DUBOIS DR, Warsaw, IN 46580

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20090818000398Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Kosciusko Medical Group LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Family Practice13
Nurse Practitioner13
Diagnostic Radiology6
Obstetrics/Gynecology6
General Surgery3
Certified Nurse Midwife (CNM)1
Neurology1
Pediatric Medicine1

Nearest to this location (20)

See all 44
Nurse Practitioner
NPI 1912570292
2235 DUBOIS DR
Warsaw, IN 46580
(574) 371-2625
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952313215
2235 DUBOIS DR
Warsaw, IN 46580
(574) 267-8189
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831151869
2235 DUBOIS DRIVE NULL
Warsaw, IN 46580
(574) 371-2625
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336116201
2235 DUBOIS DR
Warsaw, IN 46580
(574) 267-8189
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1255396529
2235 DUBOIS DR
Warsaw, IN 46580
(574) 267-8189
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1053382226
2235 DUBOIS DR
Warsaw, IN 46580
(574) 371-2625
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952524035
2235 DUBOIS DR
Warsaw, IN 46580
(574) 371-2625
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013469659
2235 DUBOIS DR
Warsaw, IN 46580
(574) 267-8189
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1316109317
1000 PROVIDENT DR SUITE C
Warsaw, IN 46580
(574) 267-8728
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1508803081
1000 PROVIDENT DR STE C
Warsaw, IN 46580
(574) 267-8728
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1023361276
902 PROVIDENT DR STE A
Warsaw, IN 46580
(574) 269-8338
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1285653956
902 PROVIDENT DR SUITE A
Warsaw, IN 46580
(574) 269-8338
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1740137033
902 PROVIDENT DR STE C
Warsaw, IN 46580
(574) 269-8338
✔ PECOS0.1 mi
General Surgery
NPI 1124278775
2101 DUBOIS DR
Warsaw, IN 46580
(574) 267-3200
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1033555966
1205 PROVIDENT DR STE A
Warsaw, IN 46580
(574) 269-8383
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1609819606
1210 PROVIDENT DRIVE STE B
Warsaw, IN 46580
(574) 268-4300
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1972546927
1210 PROVIDENT DRIVE STE B
Warsaw, IN 46580
(574) 268-4300
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Nurse Midwife (CNM)
NPI 1124808399
1210 PROVIDENT DR
Warsaw, IN 46580
(574) 268-4300
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1730115767
1275 PROVIDENT DR
Warsaw, IN 46580
(574) 269-4026
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1285123141
1275 PROVIDENT DR
Warsaw, IN 46580
(574) 269-4026
✔ PECOS✔ Accepts Medicare0.2 mi
See all 44 clinicians

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 Kosciusko Medical Group LLC's NPI number?

The NPI number for Kosciusko Medical Group LLC is 1932349594. It was assigned to this organization in the NPPES registry on February 23, 2009.

Where is Kosciusko Medical Group LLC located?

Kosciusko Medical Group LLC is located at 2235 Dubois Dr, Warsaw, IN 46580. The listed phone number is (574) 267-8189.

What is Kosciusko Medical Group LLC's specialty?

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

Is Kosciusko Medical Group LLC enrolled in Medicare?

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

When is Kosciusko Medical Group LLC'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 November 30, 2026. 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 Kosciusko Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 8 Medicare specialties reassign their Medicare billing to Kosciusko 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 Family Practice (13), Nurse Practitioner (13) and Diagnostic Radiology (6). Of these, 8 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kosciusko Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kosciusko 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 Kosciusko Medical Group LLC was last updated on October 1, 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.