Vituity - Indiana Critical Care PC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

VITUITY - INDIANA CRITICAL CARE PC

Practice address

1606 N 7TH St
Terre Haute, IN 47804-2706

Phone

(812) 238-7000

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Theophile Koury, MD

Title

President

Phone

(510) 350-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 6

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

• Anand Bhuptani, MD

  • Pulmonary Disease Physician
  • Terre Haute, IN
  • NPI 1144200114

  IN

  Medicare reassignment Care Compare group NPD
• Shashikumar R Gowda, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Terre Haute, IN
  • NPI 1922116672

  Critical Care Medicine, IN

  Medicare reassignment Care Compare group NPD
• Shawntae Stelow, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Terre Haute, IN
  • NPI 1558934125

  IN

  Medicare reassignment Care Compare group NPD
• Haylee Dianna Vines-Justice, AGACNP

  • Critical Care Medicine Nurse Practitioner
  • Terre Haute, IN
  • NPI 1528728755

  IN

  Medicare reassignment Care Compare group NPD
• Eduardo Enrique Chang

  • Pulmonary Disease Physician
  • The Woodlands, TX
  • NPI 1689683153

  Critical Care Medicine, IN

  Medicare reassignment Care Compare group NPD
• Taylar Lynn Moss, ACNP

  • Acute Care Nurse Practitioner
  • Terre Haute, IN
  • NPI 1881480952

  IN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1356922397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042706",
            "telephone_number": "812-238-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITUITY - INDIANA CRITICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "THEOPHILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-350-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Terre Haute, IN
• Critical Care Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.