Providence Medical Associates LLC
NPI 1326654070 · Medical Specialty Clinic/Center · Indianapolis, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Medical Associates LLC is a Medical Specialty Clinic/Center organization in Indianapolis, IN (NPI 1326654070).
Provider details
- NPI number
- 1326654070
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olufunke Brimmo-Longe, Owner(716) 686-2104
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
6 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
Registry dates
- Enumerated
- 2020-09-18
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Frequently asked questions
- What is Providence Medical Associates LLC's NPI number?
- Providence Medical Associates LLC's National Provider Identifier (NPI) is 1326654070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical Associates LLC?
- Providence Medical Associates LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Medical Associates LLC located?
- Providence Medical Associates LLC's practice location on file with NPPES is 1935 N Capitol Ave Ste 107, Indianapolis, IN 46202-6403.
- What is Providence Medical Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical Associates LLC is (716) 686-2104.
- Does Providence Medical Associates LLC accept Medicare?
- Providence Medical Associates 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 Providence Medical Associates LLC?
- The authorized official listed on Providence Medical Associates LLC's NPPES record is Olufunke Brimmo-Longe, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Medical Associates LLC's NPI active?
- Yes — Providence Medical Associates LLC's NPI (1326654070) is active in the NPPES registry as of the last update on 2020-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.