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 1215567003

Privia Medical Group Indiana, LLC is a Multi-Specialty Clinic/Center in Elkhart, Indiana. Registered with an NPI since 2020.

In the registry since
2020
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

2117 W Lexington Ave
Elkhart, IN 46514-1423
Phone: (574) 296-3444
Fax: (574) 296-3328
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 number1215567003
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationElkhart Clinic, LLC
Authorized official Timothy Porsche — Managing Partner · (574) 296-3200
Other names Elkhart Clinic Hematology And Oncology; Elkhart Clinic Hematology And Oncology
NPI enumeratedJanuary 21, 2020
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 2968, Elkhart, IN 46515-2968

Other providers in Elkhart