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

Mr. Samuel Dominic Kobba, NP

Individual provider Family Nurse Practitioner · NPI 1811211154

Mr. Samuel Dominic Kobba, NP is a Nurse Practitioner in Elkhart, Indiana. Qualified in 1997, 29 years ago. Practices with Heart City Health Center Inc, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
29
Licensed in
IN
In the registry since
2010
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

236 Simpson Ave
Elkhart, IN 46516-4666
Phone: (574) 293-0052
Fax: (574) 343-1390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5550 S East St Ste C, Indianapolis, IN 46227-1991 — (317) 534-4660

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71000742A (IN)

Record details

NPI number1811211154
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 16, 2010
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Heart City Health Center Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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