Active NPI
Northeast Internal Medicine Associates, PC
- Internal Medicine Physician
- Lagrange, IN
National Provider Identifier
1174518500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC
- Practice address
- 2500 N Detroit St
Lagrange, IN 46761-1158 - Phone
- (260) 463-2133
- Fax
- (260) 463-3775
- NPI assigned
- Sep 12, 2005
- Last updated
- Sep 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shashank Nmi Kashyap, M.D.
- Title
- President/Owner
- Phone
- (260) 463-2133
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2500 N Detroit St
Lagrange, IN 46761-1158
Mailing address
PO Box 236
Lagrange, IN 46761-0236
Phone (260) 463-2133
Other practice location 1
2003 Stults Rd Ste 220
Huntington, IN 46750-1291
Phone (260) 463-2133
Other practice location 2
610 N Sawyer Rd
Kendallville, IN 46755-2566
Phone (260) 347-5592
Other practice location 3
885 W Connexion Way Ste 200
Columbia City, IN 46725-1045
Phone (260) 463-2133
Other practice location 4
1310 E 7th St Ste G
Auburn, IN 46706-2518
Phone (260) 463-2133
Other practice location 5
1655 N Cass St
Wabash, IN 46992-9416
Phone (260) 463-2133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
610 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-5592
1155 N 1200 W
Middlebury, IN 46540
Phone (574) 825-3888
Practitioners & affiliated clinicians
Practitioners 83
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Lagrange, IN
- NPI 1548255961
-
- Family Nurse Practitioner
- Lagrange, IN
- NPI 1609677483
-
- Family Nurse Practitioner
- Kendallville, IN
- NPI 1073359329
-
- Nurse Practitioner
- Fort Wayne, IN
- NPI 1316370018
-
- Family Nurse Practitioner
- Fort Wayne, IN
- NPI 1962941054
-
- Family Nurse Practitioner
- Lagrange, IN
- NPI 1578054193
-
- Nurse Practitioner
- Fort Wayne, IN
- NPI 1679948160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630540800000",
"number": "1174518500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467610236",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N DETROIT ST",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467611158",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775"
}
],
"practiceLocations": [
{
"address_1": "2003 Stults Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "IN",
"postal_code": "467501291",
"country_code": "US",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 N Sawyer Rd",
"address_purpose": "LOCATION",
"city": "Kendallville",
"state": "IN",
"postal_code": "467552566",
"country_code": "US",
"telephone_number": "260-347-5592",
"fax_number": "260-347-5155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "885 W Connexion Way Ste 200",
"address_purpose": "LOCATION",
"city": "Columbia City",
"state": "IN",
"postal_code": "467251045",
"country_code": "US",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1310 E 7th St Ste G",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "IN",
"postal_code": "467062518",
"country_code": "US",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1655 N Cass St",
"address_purpose": "LOCATION",
"city": "Wabash",
"state": "IN",
"postal_code": "469929416",
"country_code": "US",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A",
"authorized_official_last_name": "KASHYAP",
"authorized_official_first_name": "SHASHANK",
"authorized_official_middle_name": "NMI",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "260-463-2133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrange, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.