Organization Active NPI

Indumathi MD and Associates PA

  • Family Medicine Physician
  • Crestview, FL
National Provider Identifier
1407735244
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Indumathi ChristopherNPI 1467453613
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.