KOKOMO UROLOGY INC. NPI 1104026160

NPI Information

  • NPI: 1104026160
  • Provider Name: KOKOMO UROLOGY INC.
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 15D0358654
  • Address: 2345 W LINCOLN RD
    KOKOMO, IN
    ZIP 46902
  • Phone: (765) 455-4075

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NPI Details

KOKOMO UROLOGY INC. is an urology in Kokomo, IN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. KOKOMO UROLOGY INC. NPI is 1104026160. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2345 W LINCOLN RD
KOKOMO, IN
ZIP 46902-012
Phone: (765) 455-4075
Fax: (765) 455-4094

The provider's authorized official is Willis W Peelle .
The authorized official title is President and has the following contact phone number (765) 455-4075.

The CLIA number assigned to this NPI record is 15D0358654 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/18/2007 and was last updated on 5/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100136840AMEDICAIDINDIANA
20249010001MEDICARE NSCINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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