OrganizationActive
St Joseph Primary LLC
NPI 1265489975 · Gastroenterology Physician · Kokomo, IN
St Joseph Primary LLC is a Gastroenterology Physician organization in Kokomo, IN (NPI 1265489975).
Provider details
- NPI number
- 1265489975
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Kellar, Regional Practice Administrator(765) 457-8381
- License
- 0104783A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
615 Saint Joseph Dr
Kokomo, IN 46901-1890
Phone: (765) 236-0610
Street-level locationGet directions
Mailing address
615 Saint Joseph Dr
Kokomo, IN 46901-1890
Other names (DBA / former)
- Doing business as
- Kokomo Gastroenterology & Hepatology
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2007-11-16
Frequently asked questions
- What is St Joseph Primary LLC's NPI number?
- St Joseph Primary LLC's National Provider Identifier (NPI) is 1265489975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Joseph Primary LLC?
- St Joseph Primary LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is St Joseph Primary LLC located?
- St Joseph Primary LLC's practice location on file with NPPES is 615 Saint Joseph Dr, Kokomo, IN 46901-1890.
- What is St Joseph Primary LLC's phone number?
- The practice phone number listed in the NPPES registry for St Joseph Primary LLC is (765) 236-0610.
- Who is the authorized official for St Joseph Primary LLC?
- The authorized official listed on St Joseph Primary LLC's NPPES record is Andrew Kellar, Regional Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Joseph Primary LLC's NPI active?
- Yes — St Joseph Primary LLC's NPI (1265489975) is active in the NPPES registry as of the last update on 2007-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.