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 1730638990

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.

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Practice location Address checks out

25651 County Road 20
Elkhart, IN 46517-2310
Phone: (574) 522-1201
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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 number1730638990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Boyer — Ceo · (574) 296-3254
NPI enumeratedSeptember 29, 2016
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address303 S Nappanee St, Elkhart, IN 46514-2066

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