Privia Medical Group Indiana, LLC
NPI 1083165708 · Multi-Specialty Clinic/Center · Elkhart, IN
Enrolled with Medicare as Dme Supplier - Physician - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Privia Medical Group Indiana, LLC is a Multi-Specialty Clinic/Center organization in Elkhart, IN (NPI 1083165708).
Provider details
- NPI number
- 1083165708
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Vandergrift, Ceo(574) 296-3200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs 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
Other names (DBA / former)
- Other name
- Elkhart Clinic
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Privia Medical Group Indiana, LLC's NPI number?
- Privia Medical Group Indiana, LLC's National Provider Identifier (NPI) is 1083165708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Privia Medical Group Indiana, LLC?
- Privia Medical Group Indiana, LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Privia Medical Group Indiana, LLC located?
- Privia Medical Group Indiana, LLC's practice location on file with NPPES is 2222 W Lexington Ave, Elkhart, IN 46514-1420.
- What is Privia Medical Group Indiana, LLC's phone number?
- The practice phone number listed in the NPPES registry for Privia Medical Group Indiana, LLC is (574) 296-3200.
- Does Privia Medical Group Indiana, LLC accept Medicare?
- Privia Medical Group Indiana, 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 Privia Medical Group Indiana, LLC?
- The authorized official listed on Privia Medical Group Indiana, LLC's NPPES record is Thomas Vandergrift, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Privia Medical Group Indiana, LLC's NPI active?
- Yes — Privia Medical Group Indiana, LLC's NPI (1083165708) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.