Organization Active NPI

Caleel Family Medicine Clinic, PC

  • Family Medicine Physician
  • Crown Point, IN
National Provider Identifier
1093476160
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CALEEL FAMILY MEDICINE CLINIC, PC
Doing business as
Caleel Family Medicine Clinic, PC
Practice address
9011 E 109TH Ave
Crown Point, IN 46307-7652
Phone
(219) 299-5341
Fax
(219) 244-5422
NPI assigned
Dec 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Tamer Caleel, DONPI 1912213737
Title
DO/Owner
Phone
(219) 299-5341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9011 E 109TH Ave
Crown Point, IN 46307-7652

Mailing address

9011 E 109TH Ave
Crown Point, IN 46307-7652
Phone (219) 299-5341

Other names 1

  • Caleel Family Medicine Clinic, PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220218000137 IN Part B Supplier - Clinic/Group Practice 6901290816 Receives reassigned benefits from 1 practitioner
Practice locations: Crown Point, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2284507Caleel Family Medicine9011 East 109TH Place, Crown Point, IN 46307Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

9011 E 109th Ave
Crown Point, IN 46307
Phone (219) 299-5341

9011 E 109th Ave
Ste 121
Crown Point, IN 46307

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": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1093476160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077652",
            "telephone_number": "219-299-5341",
            "fax_number": "219-244-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077652",
            "telephone_number": "219-299-5341",
            "fax_number": "219-244-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEEL FAMILY MEDICINE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "CALEEL",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "219-299-5341",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caleel Family Medicine Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.