NPIMap

Organization Active NPI

Northeast Internal Medicine Associates, PC

  • Primary Care Nurse Practitioner
  • Lagrange, IN
National Provider Identifier
1366859779
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
71004993A Issued in IN
Legal business name
NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC
Practice address
2500 N Detroit St
Lagrange, IN 46761-1158
Phone
(260) 463-2133
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Shashank Nmi Kashyap, MDNPI 1548255961
Title
Owner/President
Phone
(260) 463-2133

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
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 71004993A IN Primary

Addresses

Primary practice location

2500 N Detroit St
Lagrange, IN 46761-1158

Mailing address

PO Box 236
Lagrange, IN 46761-0236
Phone (260) 463-2133

Other practice location 1

610 N Sawyer Rd
Kendallville, IN 46755-2566
Phone (260) 347-5592

National Provider Directory

National Provider Directory

Locations

2500 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2133

Practitioners & affiliated clinicians

Practitioners 100

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

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1366859779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467610236",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611158",
            "telephone_number": "260-463-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552566",
            "country_code": "US",
            "telephone_number": "260-347-5592",
            "fax_number": "260-347-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "KASHYAP",
        "authorized_official_first_name": "SHASHANK",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "260-463-2133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71004993A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.