Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Privia Medical Group Indiana, LLC

Organization Multi-Specialty Clinic/Center · NPI 1083165708

Privia Medical Group Indiana, LLC is a Multi-Specialty Clinic/Center in Elkhart, Indiana. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2222 W Lexington Ave Ste B
Elkhart, IN 46514-1420
Phone: (574) 296-3200
Fax: (574) 296-3392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1083165708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Vandergrift — Ceo · (574) 296-3200
Other names Elkhart Clinic
NPI enumeratedOctober 18, 2016
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address303 S Nappanee St, Elkhart, IN 46514-2066

Other providers in Elkhart