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Organization Active NPI

Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana

Doing business as Rheumatology of Central Indiana

  • Rheumatology Physician
  • Muncie, IN
National Provider Identifier
1306334255
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MEDICAL GROUP OF INDIANA LLC D/B/A RHEUMATOLOGY OF CENTRAL INDIANA
Doing business as
Rheumatology of Central Indiana
Practice address
1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone
(765) 717-5399
NPI assigned
Apr 26, 2018
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Tarek KtelehNPI 1932220035
Title
Owner
Phone
(765) 717-5399

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1107 S Tillotson Ave
Muncie, IN 47304-4517

Mailing address

1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone (765) 717-5399

Other practice location 1

1007 N 16th St
New Castle, IN 47362-4320
Phone (765) 717-5399

Other practice location 2

900 Sim Hodgin Pkwy
Richmond, IN 47374-1932
Phone (765) 717-5399

Other practice location 3

330 N Wabash Ave
Marion, IN 46952-2696
Phone (765) 717-5399

Other practice location 4

2451 Intelliplex Dr Ste 250
Shelbyville, IN 46176-8581
Phone (765) 717-5399

Other practice location 5

2705 S Berkley Rd Ste 4D
Kokomo, IN 46902-8007
Phone (765) 717-5399

Other names 1

  • Rheumatology of Central Indiana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181109000451 IN Part B Supplier - Clinic/Group Practice 7315291382 Receives reassigned benefits from 16 practitioners
Practice locations: Greensburg, IN; Kokomo, IN; Marion, IN; Muncie, IN; New Castle, IN; Richmond, IN; Shelbyville, IN

National Provider Directory

National Provider Directory

Locations

2705 S Berkley Rd
Ste 4D
Kokomo, IN 46902
Phone (317) 453-5444

1107 S Tillotson Ave
Muncie, IN 47304

3550 W Fox Ridge Ln
Muncie, IN 47304
Phone (765) 282-8011

3620 W Bethel Ave
Muncie, IN 47304
Phone (317) 428-5027

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1306334255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-717-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-717-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 N 16th St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473624320",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Sim Hodgin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741932",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522696",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Intelliplex Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768581",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Berkley Rd Ste 4D",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469028007",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL GROUP OF INDIANA LLC D/B/A RHEUMATOLOGY OF CENTRAL INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "KTELEH",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-717-5399"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rheumatology of Central Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.