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Privia Medical Group Indiana, LLC

Multi-Specialty Clinic/Center in Mishawaka, IN · enumerated 2008 · authorized official Timothy Porsche, Managing Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235303165

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Registry record

Entity type Organization (Type 2)
Legal business name Privia Medical Group Indiana, LLC
Other name <Unavail>
Practice address 410 Park Pl, Suite B, Mishawaka, IN, 46545
Phone (574) 855-5800
Fax (574) 855-5805
Enumeration date Apr 22, 2008
Last updated in NPPES May 12, 2025

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Timothy Porsche
Title Managing Partner
Phone (574) 296-3200

Other identifiers

Identifier Type State Issuer
100466600D Medicaid IN -
0359310002 Other IN MEDICARE NSC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Privia Medical Group Indiana, LLC?
NPPES lists Timothy Porsche (Managing Partner) as the authorized official for this organization.
What is the NPI number for Privia Medical Group Indiana, LLC?
The NPI for Privia Medical Group Indiana, LLC is 1235303165, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-12.