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REDDY RHEUMATOLOGY OF NORTHWEST IN PC NPI 1528248242


NPI Information

NPI: 1528248242
Provider Name: REDDY RHEUMATOLOGY OF NORTHWEST IN PC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 15D2083222

Address:
118 E 90TH DRIVE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-2922
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REDDY RHEUMATOLOGY OF NORTHWEST IN PC is a rheumatology internal medicine in Merrillville, IN. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. REDDY RHEUMATOLOGY OF NORTHWEST IN PC NPI is 1528248242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

118 E 90TH DRIVE
MERRILLVILLE, IN
ZIP 46410-160
Phone: (219) 736-2922
Fax: (219) 736-2938

The provider's authorized official is Judith Anne Longacre .
The authorized official title is Administrative Assistant and has the following contact phone number (219) 736-2922.

The CLIA number assigned to this NPI record is 15D2083222 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 11/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatology01056231AYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000322080OTHERINDIANAANTHEM
2200806960MEDICAIDINDIANA
3G12919MEDICARE UPININDIANA
4216920AMEDICARE PININDIANA
5P00173282OTHERINDIANARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.