Active NPI
Tarek Kteleh, MD
- Rheumatology Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 01068046A
- Practice address
- 1107 S Tillotson Ave
Muncie, IN 47304-4517 - Phone
- (765) 717-5399
- NPI assigned
- Apr 3, 2007
- Last updated
- Feb 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200980090 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Decatur County Memorial Hospital
- Northwestern Medicine Central Dupage Hospital
- Major Hospital
- Reid Health
- Indiana University Health Ball Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.3 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006018669 | MO | MD | Specialist |
| 10801 | ND | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana | Rheumatology | Current | Accepting new patients |
| Meridian Health Services Corp. | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Meridian Health Services Corp | Current | 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
- 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.
-
dba Rheumatology of Central Indiana
- Rheumatology Physician
- Muncie, IN
- NPI 1306334255
-
- Critical Access Hospital
- Greensburg, IN
- NPI 1952300477
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Muncie, IN
- NPI 1992755490
-
dba Decatur County Memorial Hospital Pharmacy
- Institutional Pharmacy
- Greensburg, IN
- NPI 1033216429
-
dba Decatur County Family Medicine
- Rural Health Clinic/Center
- Greensburg, IN
- NPI 1437900800
-
- Federally Qualified Health Center (FQHC)
- Montpelier, IN
- NPI 1417838574
-
dba Morning Breeze Retirement Community and Healthcare Center
- Skilled Nursing Facility
- Greensburg, IN
- NPI 1295720365
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greensburg, IN
- NPI 1952300477
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
dba Reid Health
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.