Active NPI
Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana
- Rheumatology Physician
- Muncie, IN
National Provider Identifier
1306334255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- MEDICAL GROUP OF INDIANA LLC D/B/A RHEUMATOLOGY OF CENTRAL INDIANA
- Practice address
- 1107 S Tillotson Ave
Muncie, IN 47304-4517 - Phone
- (765) 717-5399
- NPI assigned
- Apr 26, 2018
- 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
- Tarek Kteleh
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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
900 Sim Hodgin Pkwy
Richmond, IN 47374-1932
Phone (765) 717-5399
Other practice location 2
1007 N 16th St
New Castle, IN 47362-4320
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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300080657 | Medicaid | IN |
Other names 1
- Rheumatology of Central Indiana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
6619 Brotherhood Way
Fort Wayne, IN 46825
2705 S Berkley Rd
Kokomo, IN 46902
Phone (765) 453-2200
1107 S Tillotson Ave
Muncie, IN 47304
900 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (317) 395-3178
Practitioners & affiliated clinicians
Practitioners 17
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": "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": "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": "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": "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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300080657",
"state": "IN"
}
],
"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.