NPI 1992584783 · live from the CMS NPI Registry
Altea Medical Indiana PC
Internal Medicine, Geriatric Medicine in Gary, IN. National Provider Identifier 1992584783, active.
NPI record
| NPI | 1992584783 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Geriatric Medicine 207RG0300X |
| Practice location | 2350 Taft St, Gary, IN 46404 |
| Practice phone | 888-408-7008 |
| Mailing address | 400 E Rivulon Blvd Ste 103, Gilbert, AZ 85297 |
| Enumerated | September 21, 2023 |
| Last updated | November 17, 2025 |
| Authorized official | Lisa Krueger, Vp Of Revenue Cycle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| Family Medicine, Adult Medicine | 207QA0505X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Internal Medicine, Geriatric Medicine primary | 207RG0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.