Integrated Medicine for Mens Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INTEGRATED MEDICINE FOR MENS HEALTH

Practice address

2838 45TH St Ste a
Highland, IN 46322-2905

Phone

(219) 424-1488

Fax

(219) 267-1704

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rajat Prakash, MDNPI 1700872041

Title

President

Phone

(219) 424-1488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Rajat Prakash, MD

  • Internal Medicine Physician
  • Valparaiso, IN
  • NPI 1700872041
  Medicare reassignment NPD Authorized official
• Arvind Kakodkar, M.D.

  • Family Medicine Physician
  • East Chicago, IN
  • NPI 1073546776
  NPD (past)

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1205656261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 INDIAN TRAIL RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232796",
            "telephone_number": "219-424-1488",
            "fax_number": "219-267-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 45TH ST STE A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222905",
            "telephone_number": "219-424-1488",
            "fax_number": "219-267-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICINE FOR MENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-424-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indy RX LLC
• Infectious Disease Specialists, P.C.
• Inspire Care & Support Services
• Inspire Nursing Services LLC
• Integrated Body and Medicine, PC
• Integrative Counseling Services
• Invictus Home and Private Care LLC
• Juliana Akudo Iwuagwu
• Iyengar Geriatric Hospitalist SC
• Abigail C Jacobs, LCSW

• Primary Care Clinic/Center in Highland, IN
• Providers in Highland, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.

Verify at the official NPI Registry.