Amana Integrative Medicine LLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Chesterton, IN
NPI 1013879246 · NPPES record last updated Nov 25, 2025
Key facts
- NPI
- 1013879246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- AMANA INTEGRATIVE MEDICINE LLC
- Practice address
- 101 Beverly Dr
Chesterton, IN 46304-3470 - Phone
- (630) 340-8286
- NPI assigned
- Nov 25, 2025
- Organization subpart
- No
Authorized official
- Name
- Revathy Ameeruddin, MD
- Title
- Co-Owner
- Phone
- (630) 340-8286
Practitioners 2
-
Aamir Mahmood, D.P.M
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260121003983 | IN | Part B Supplier - Clinic/Group Practice | 2163909193 |
Receives reassigned benefits from 1 practitioner Practice locations: Chesterton, IN |
National Provider Directory
Locations
101 Beverly Dr
Chesterton, IN 46304
Phone (219) 690-7025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
101 Beverly Dr
Chesterton, IN 46304-3470
Mailing address
101 Beverly Dr
Chesterton, IN 46304-3470
Phone (630) 340-8286
Other providers in Chesterton, IN
- Ahmad R. Sprouse
- Kennedy Albertsman
- Joshua M Allen
- Allied Therapeutic LLC
- Bilal Alnahass
- Juana Maria Ambriz de Williams
- Amedisys Indiana, L.L.C.
- American Partners LP
- Jay Timothy Ames
- Aaron G Anderson
All providers in Chesterton, IN · Physical Medicine & Rehabilitation Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.