Active NPI
Indumathi MD and Associates PA
- Family Medicine Physician
- Crestview, FL
National Provider Identifier
1407735244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INDUMATHI MD AND ASSOCIATES PA
- Practice address
- 131 E Redstone Ave Ste 107
Crestview, FL 32539-5355 - Phone
- (850) 682-6320
- Fax
- (850) 682-6339
- NPI assigned
- Aug 27, 2025
- Last updated
- Sep 30, 2025
- 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
- Indumathi Christopher
- Title
- MD, VP
- Phone
- (850) 682-6320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
131 E Redstone Ave Ste 107
Crestview, FL 32539-5355
Mailing address
131 E Redstone Ave Ste 107
Crestview, FL 32539-5355
Phone (850) 682-6320
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Crestview, FL
- NPI 1467453613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759190400000",
"number": "1407735244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E REDSTONE AVE STE 107",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395355",
"telephone_number": "850-682-6320",
"fax_number": "850-682-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E REDSTONE AVE STE 107",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395355",
"telephone_number": "850-682-6320",
"fax_number": "850-682-6339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDUMATHI MD AND ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-27",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A",
"authorized_official_last_name": "CHRISTOPHER",
"authorized_official_first_name": "INDUMATHI",
"authorized_official_title_or_position": "MD, VP",
"authorized_official_telephone_number": "850-682-6320"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.