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PRIVIA MEDICAL GROUP INDIANA, LLC
NPI 1982846010
Family Medicine in Elkhart, IN

Active since April 06, 2009
2115 W LEXINGTON AVE, ELKHART, IN 46514(574) 296-3955(574) 296-3999 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Privia Medical Group Indiana, Llc NPPES

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

PRIVIA MEDICAL GROUP INDIANA, LLC (NPI 1982846010), doing business as Elkhart Family Physicians, is a healthcare organization registered as a family medicine in Elkhart, Indiana and active in the NPI registry since April 2009. The organization lists Kevin R Boyer, Chief Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1982846010
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIVIA MEDICAL GROUP INDIANA, LLC
Location Address2115 W LEXINGTON AVEElkhart, IN 46514-1423
Mailing Address303 S Nappanee StElkhart, IN 46514-2066 · (574) 296-3200 · Fax (574) 296-3392
Phone(574) 296-3955
Fax(574) 296-3999
Organization SubpartNo
Authorized OfficialKevin R BoyerChief Executive Administrator · (574) 296-3200
Enumeration DateApril 6, 2009
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1982846010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2115 W LEXINGTON AVE, Elkhart, IN 46514
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Other Names 1

Doing Business AsElkhart Family Physicians

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN D. MATHERLY M.D.
Family Medicine
2115 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3955
KATARINA MOSKALOW M.D.
Family Medicine
2115 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3200
DR. HEATHER A. MACKLEM M.D.
Family Medicine
2115 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3955
DR. TIMOTHY J. PORSCHE M.D.
Family Medicine
2115 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3955
AARON M YOUNG M.D.
Family Medicine
2115 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3950

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 Privia Medical Group Indiana, LLC's NPI number?

The NPI number for Privia Medical Group Indiana, LLC is 1982846010. It was assigned to this organization in the NPPES registry on April 6, 2009. The provider is doing business as Elkhart Family Physicians.

Where is Privia Medical Group Indiana, LLC located?

Privia Medical Group Indiana, LLC is located at 2115 W Lexington Ave, Elkhart, IN 46514. The listed phone number is (574) 296-3955.

What is Privia Medical Group Indiana, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Privia Medical Group Indiana, LLC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.