Impact Physician Group Nephrology, LLC
NPI 1003704875 · Nephrology Physician · Lebanon, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Impact Physician Group Nephrology, LLC is a Nephrology Physician organization in Lebanon, IN (NPI 1003704875).
Provider details
- NPI number
- 1003704875
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Miller, Ceo(678) 699-4977
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-27
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Frequently asked questions
- What is Impact Physician Group Nephrology, LLC's NPI number?
- Impact Physician Group Nephrology, LLC's National Provider Identifier (NPI) is 1003704875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Physician Group Nephrology, LLC?
- Impact Physician Group Nephrology, LLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Physician Group Nephrology, LLC located?
- Impact Physician Group Nephrology, LLC's practice location on file with NPPES is 1585 Perry Worth Rd, Lebanon, IN 46052-9635.
- What is Impact Physician Group Nephrology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Physician Group Nephrology, LLC is (765) 482-6391.
- Does Impact Physician Group Nephrology, LLC accept Medicare?
- Impact Physician Group Nephrology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Impact Physician Group Nephrology, LLC?
- The authorized official listed on Impact Physician Group Nephrology, LLC's NPPES record is Paul Miller, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Physician Group Nephrology, LLC's NPI active?
- Yes — Impact Physician Group Nephrology, LLC's NPI (1003704875) is active in the NPPES registry as of the last update on 2025-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.