{"npi":"1306334255","type":"NPI-2","status":"active","name":{"display":"Medical Group Of Indiana LLC","other":[],"organization_name":"MEDICAL GROUP OF INDIANA LLC","authorised_official":"Tarek Kteleh"},"specialty":{"primary_taxonomy":"207RR0500X","primary_taxonomy_description":"Rheumatology Physician","slug":"rheumatology-physician","schema_org_specialty":null,"all":[{"code":"207RR0500X","description":"Rheumatology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1107 S TILLOTSON AVE","city":"MUNCIE","state":"IN","postal_code":"473044517","country_code":"US","phone":"7657175399"},{"purpose":"MAILING","street_1":"1107 S TILLOTSON AVE","city":"MUNCIE","state":"IN","postal_code":"473044517","country_code":"US","phone":"7657175399"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20181109000451","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IN","pac_id":"7315291382"}]},"enumeration_date":"2018-04-26","last_updated":"2024-01-15","_meta":{"source":"NPPES","snapshot_date":"2024-01-15","doc_url":"https://findmynpi.com/api"}}