Organization Active NPI

Indiana Physician Specialists LLC

  • Internal Medicine Physician
  • East Chicago, IN
National Provider Identifier
1366238669
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INDIANA PHYSICIAN SPECIALISTS LLC
Practice address
3847 Euclid Ave
East Chicago, IN 46312-2332
Phone
(219) 285-8224
Fax
(219) 285-8228
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Syed Kazmi, MD
Title
Owner
Phone
(219) 285-8224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Pain Clinic/Center 261QP3300X NU

Addresses

Primary practice location

3847 Euclid Ave
East Chicago, IN 46312-2332

Mailing address

811 S Central Expy Ste 103
Richardson, TX 75080-7439
Phone (972) 636-5727

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1366238669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S CENTRAL EXPY STE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807439",
            "telephone_number": "972-636-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 EUCLID AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122332",
            "telephone_number": "219-285-8224",
            "fax_number": "219-285-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA PHYSICIAN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "KAZMI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-285-8224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.