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GERIATRIC PRIMARY CARE OF INDIANA LLC
NPI 1992506588
Internal Medicine in Indianapolis, IN

Active since March 20, 2025CLIA 17D2194249 · Waiver
5354 W 62ND ST APT 176C, INDIANAPOLIS, IN 46268(850) 377-0925 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2025, Mar 20, 2025 (2 updates tracked since 2025).

About Geriatric Primary Care Of Indiana Llc NPPES

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

GERIATRIC PRIMARY CARE OF INDIANA LLC (NPI 1992506588) is a healthcare organization registered as an internal medicine in Indianapolis, Indiana and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Mark Battist, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992506588
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGERIATRIC PRIMARY CARE OF INDIANA LLC
Location Address5354 W 62ND ST APT 176CIndianapolis, IN 46268-6436
Mailing Address12120 State Line Rd # 296Leawood, KS 66209-1254
Phone(850) 377-0925
Organization SubpartNo
Authorized OfficialMark BattistCeo · (850) 377-0925
Enumeration DateMarch 20, 2025
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1992506588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5354 W 62ND ST APT 176C, Indianapolis, IN 46268
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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

CLIA Laboratory Certificates CMS CLIA

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 17D2194249

Geriatric Primary Care, PA · Leawood, KS
Active · expires Sep 28, 2026
CLIA Number17D2194249
Laboratory TypeIndependent
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorMark A. Battist
Laboratory Phone(913) 302-7183
Laboratory LocationGeriatric Primary Care, PA11111 Nall Ave, Suite 103, Leawood, KS 66211
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Geriatric Primary Care Of Indiana LLC's NPI number?

The NPI number for Geriatric Primary Care Of Indiana LLC is 1992506588. It was assigned to this organization in the NPPES registry on March 20, 2025.

Where is Geriatric Primary Care Of Indiana LLC located?

Geriatric Primary Care Of Indiana LLC is located at 5354 W 62nd St Apt 176C, Indianapolis, IN 46268. The listed phone number is (850) 377-0925.

What is Geriatric Primary Care Of Indiana LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Geriatric Primary Care Of Indiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2194249) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Geriatric Primary Care Of Indiana LLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.