Premier Pediatrics of Indiana LLC
NPI 1760084156 · Pediatrics Physician · Granger, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Pediatrics of Indiana LLC is a Pediatrics Physician organization in Granger, IN (NPI 1760084156).
Provider details
- NPI number
- 1760084156
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charisse Johnson, Sole Proprietor(317) 345-3142
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
5 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
- 2020-11-11
- Last updated
- 2021-07-20
- Certified
- 2021-07-20
Frequently asked questions
- What is Premier Pediatrics of Indiana LLC's NPI number?
- Premier Pediatrics of Indiana LLC's National Provider Identifier (NPI) is 1760084156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Pediatrics of Indiana LLC?
- Premier Pediatrics of Indiana LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Pediatrics of Indiana LLC located?
- Premier Pediatrics of Indiana LLC's practice location on file with NPPES is 229 Florence Ave Ste 233, Granger, IN 46530-8048.
- What is Premier Pediatrics of Indiana LLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Pediatrics of Indiana LLC is (574) 855-4575.
- Does Premier Pediatrics of Indiana LLC accept Medicare?
- Premier Pediatrics of 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 Premier Pediatrics of Indiana LLC?
- The authorized official listed on Premier Pediatrics of Indiana LLC's NPPES record is Charisse Johnson, Sole Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Pediatrics of Indiana LLC's NPI active?
- Yes — Premier Pediatrics of Indiana LLC's NPI (1760084156) is active in the NPPES registry as of the last update on 2021-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.