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

Dr. Thomas R. Vidic, MD

Individual provider Neurology Physician · NPI 1265437404

Dr. Thomas R. Vidic, MD is a Neurology in Elkhart, Indiana. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1980, 46 years ago. Practices with Privia Medical Group Indiana LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
46
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

303 S Nappanee St
Elkhart, IN 46514-2066
Phone: (574) 296-3282
Fax: (574) 296-3324
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 01033614A (IN)

Record details

NPI number1265437404
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2005
Last updated in NPPESDecember 19, 2012
Mailing addressPo Box 2968, Elkhart, IN 46515-2968

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1980 (46 years in practice)
Group practice Privia Medical Group Indiana Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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