1. Home
  2. Directory
  3. Indiana
  4. Lafayette
  5. Internal Medicine
  6. NPI Profile

FUNDAMENTAL HEALTH, INC
NPI 1114529237
Internal Medicine in Lafayette, IN

Active since November 13, 2020
1221 S CREASY LN STE K3, LAFAYETTE, IN 47905(765) 838-2310(765) 838-1035 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2021, Nov 13, 2020 (2 updates tracked since 2020).

About Fundamental Health, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNDAMENTAL HEALTH, INC (NPI 1114529237) is a healthcare organization registered as an internal medicine in Lafayette, Indiana and active in the NPI registry since November 2020. The organization maintains 2 additional practice locations and lists Julie Christine Miranda, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1114529237
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFUNDAMENTAL HEALTH, INC
Location Address1221 S CREASY LN STE K3Lafayette, IN 47905-7430
Mailing Address1221 S Creasy Ln Ste K3Lafayette, IN 47905-7430 · (765) 838-2310 · Fax (765) 838-1035
Phone(765) 838-2310
Fax(765) 838-1035
Organization SubpartNo
Authorized OfficialJulie Christine MirandaPractice Manager · (765) 838-2310
Enumeration DateNovember 13, 2020
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1114529237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1221 S CREASY LN STE K3, Lafayette, IN 47905
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1412 E Southway BlvdKokomo, IN 46902-3814 · Phone (765) 252-0453 · Fax (765) 865-8070
Location 21221 South Creasy, Suite K3Lafayette, IN 47905 · Phone (812) 269-1084 · Fax (812) 287-8518

Other Identifiers 3

Other1114529237IN · Men's Health
Other1659312759IN · Npi
Other1942753082IN · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIANA WELLNESS, LLC
Specialist
1221 S CREASY LN STE K3
LAFAYETTE, IN 47905
Tippecanoe County (765) 379-1358
MICHELLE ANN MISENHEIMER AGNP-C
Nurse Practitioner (Adult Health)
1221 S CREASY LN STE K3
LAFAYETTE, IN 47905
Tippecanoe County (765) 838-2310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fundamental Health, Inc's NPI number?

The NPI number for Fundamental Health, Inc is 1114529237. It was assigned to this organization in the NPPES registry on November 13, 2020.

Where is Fundamental Health, Inc located?

Fundamental Health, Inc is located at 1221 S Creasy Ln Ste K3, Lafayette, IN 47905. The listed phone number is (765) 838-2310.

What is Fundamental Health, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Fundamental Health, Inc accept?

Health plans from UnitedHealthcare list Fundamental Health, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fundamental Health, Inc was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.