Organization Active NPI

Indiana Medical Group

  • General Practice Physician
  • Valparaiso, IN
National Provider Identifier
1023321684
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INDIANA MEDICAL GROUP
Practice address
407 E Lincolnway
Valparaiso, IN 46383-5483
Phone
(888) 339-7339
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kinjot Singh, MD
Title
Ceo - President
Phone
(888) 339-7339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

407 E Lincolnway
Valparaiso, IN 46383-5483

Mailing address

407 E Lincolnway
Valparaiso, IN 46383-5483
Phone (888) 339-7339

National Provider Directory

National Provider Directory

Locations

407 Lincolnway
Valparaiso, IN 46383
Phone (219) 237-9545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1023321684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835483",
            "telephone_number": "888-339-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835483",
            "telephone_number": "888-339-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KINJOT",
        "authorized_official_title_or_position": "CEO - PRESIDENT",
        "authorized_official_telephone_number": "888-339-7339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.