KAIROS CLINIC
NPI 1962276782
Clinic/Center in Peru, IN
About Kairos Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAIROS CLINIC (NPI 1962276782) is a healthcare organization registered as a clinic/center in Peru, Indiana and active in the NPI registry since November 2023. The organization lists Lynette Smith- Caillouet, Owner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kairos Clinic 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 Kairos Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kairos Clinic's NPI number?
The NPI number for Kairos Clinic is 1962276782. It was assigned to this organization in the NPPES registry on November 13, 2023.
Where is Kairos Clinic located?
Kairos Clinic is located at 214 N. Grant Street, Peru, IN 46970. The listed phone number is (765) 460-4345.
What is Kairos Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Kairos Clinic enrolled in Medicare?
Yes. Kairos Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kairos Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kairos Clinic. 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 Kairos Clinic was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Kairos Clinic · NPI 1962276782
Clinic/Center organization in Peru, Indiana. Organization record, active in the CMS NPPES registry since November 13, 2023.
## Identity
- **NPI:** 1962276782 (Entity type: Organization)
- **Enumerated:** November 13, 2023
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Lynette Smith- Caillouet, OWNER/MANAGER
## Practice location
- **Address:** 214 N. GRANT STREET, Peru, IN 46970-1618
- **Phone:** (765) 460-4345 · **Fax:** (765) 460-4344
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2026
- **Other identifiers:** Medicaid 300092243 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1962276782) · Data from the CMS NPPES public registry.