Active NPI
360 Medical Group Indiana P.C.
- Family Medicine Physician
- Merrillville, IN
National Provider Identifier
1588560817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- 360 MEDICAL GROUP INDIANA P.C.
- Practice address
- 3800 W 80TH LN Ste 100
Merrillville, IN 46410-5052 - Phone
- (833) 360-6388
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- 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
- James Villar
- Title
- Administrator
- Phone
- (833) 360-6388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3800 W 80TH LN Ste 100
Merrillville, IN 46410-5052
Mailing address
5534 Saint Joe Rd Ste 100
Fort Wayne, IN 46835-3328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1588560817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5534 SAINT JOE RD STE 100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 W 80TH LN STE 100",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105052",
"telephone_number": "833-360-6388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "360 MEDICAL GROUP INDIANA P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "VILLAR",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "833-360-6388"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.