Individual provider Active NPI

Tarek Kteleh, MD

  • Rheumatology Physician
  • Muncie, IN
National Provider Identifier
1932220035
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01068046A Issued in IN
Practice address
1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone
(765) 717-5399
NPI assigned
Apr 3, 2007
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2006018669 MO
Rheumatology Physician 207RR0500X 10801 ND
Rheumatology Physician 207RR0500X 01068046A IN Primary

Addresses

Primary practice location

1107 S Tillotson Ave
Muncie, IN 47304-4517

Mailing address

1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone (765) 717-5399

Other practice location 1

330 N Wabash Ave Ste 470
Marion, IN 46952-2685
Phone (765) 717-5399

Other practice location 2

1007 N 16th St
New Castle, IN 47362-4320
Phone (765) 717-5399

Other practice location 3

813 N Lincoln St
Greensburg, IN 47240-1330
Phone (765) 717-5399

Other practice location 4

2705 S Berkley Rd Ste 4D
Kokomo, IN 46902-8007
Phone (765) 717-5399

Other practice location 5

2451 Intelliplex Dr Ste 250
Shelbyville, IN 46176-8581
Phone (765) 717-5399

Other practice location 6

900 Sim Hodgin Pkwy
Richmond, IN 47374-1932
Phone (765) 717-5399

Other identifiers 1

IdentifierTypeStateIssuer
200980090MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000768 IN Practitioner - RheumatologyPractitioner - Internal Medicine 2365513611 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of Indiana LLCGroup PAC ID 7315291382, 9 clinicians

Practice addresses (Care Compare)

1107 S Tillotson Ave
Muncie, IN 47304-4517
Phone (765) 717-5399

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (765) 717-5399

3620 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 717-5399

900 Sim Hodgin Pkwy
Richmond, IN 47374-1932
Phone (765) 717-5399

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.3 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006018669MOMDSpecialist
10801NDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital Current Accepting new patients
Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana Rheumatology CurrentSince May 4, 2017 Accepting new patients
Meridian Health Services Corp. CurrentSince Aug 8, 2011 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Meridian Health Services Corp CurrentSince Aug 8, 2011 Accepting new patients
Major Hospital Past Accepting new patients
Decatur County Memorial Hospital Past Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

813 N Lincoln St
Greensburg, IN 47240
Phone (812) 663-7515

2705 S Berkley Rd
Kokomo, IN 46902
Phone (765) 453-2200

2705 S Berkley Rd
Ste 4D
Kokomo, IN 46902
Phone (317) 453-5444

330 N Wabash Ave
Ste 470
Marion, IN 46952
Phone (765) 284-3879

1107 S Tillotson Ave
Muncie, IN 47304

1107 S Tillotson Ave
Ste 1
Muncie, IN 47304
Phone (765) 213-3024

240 N Tillotson Ave
Muncie, IN 47304

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

2401 W University Ave
#I
Muncie, IN 47303
Phone (765) 281-2030

2401 W University Ave
Fl 8
Muncie, IN 47303
Phone (765) 282-5822

3550 W Fox Ridge Ln
Muncie, IN 47304
Phone (765) 282-8011

3620 W Bethel Ave
Muncie, IN 47304
Phone (317) 428-5027

1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220

900 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (317) 395-3178

2451 Intelliplex Dr
Ste 250
Shelbyville, IN 46176
Phone (317) 395-5055

Interoperability endpoints

  • Direct secure messaging: tarek.kteleh@direct.dcmh.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1932220035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-717-5399",
            "fax_number": "855-792-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044517",
            "telephone_number": "765-717-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Wabash Ave Ste 470",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522685",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "fax_number": "765-216-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 N 16th St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473624320",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "fax_number": "765-216-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 N Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472401330",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Berkley Rd Ste 4D",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469028007",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Intelliplex Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768581",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Sim Hodgin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741932",
            "country_code": "US",
            "telephone_number": "765-717-5399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KTELEH",
        "first_name": "TAREK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2006018669",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ND",
            "license": "10801",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01068046A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200980090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.