NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Privia Medical Group Indiana, LLC

Multi-Specialty Clinic/Center in Mishawaka, IN · enumerated 2006 · authorized official Kevin Boyer, Chief Executive Officer.

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

National Provider Identifier

1851497945

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Privia Medical Group Indiana, LLC
Other name <Unavail>
Practice address 410 Park Pl Ste A, Mishawaka, IN, 46545
Phone (574) 252-0667
Fax (574) 807-8845
Enumeration date Sep 15, 2006
Last updated in NPPES May 12, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kevin Boyer
Title Chief Executive Officer
Phone (574) 296-3200

Other identifiers

Identifier Type State Issuer
100466600 Medicaid IN -

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Privia Medical Group Indiana, LLC?
NPPES lists Kevin Boyer (Chief Executive Officer) 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 1851497945, 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.