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NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC
NPI 1174518500
Internal Medicine in Lagrange, IN

Active since September 12, 2005CLIA Certified · 2 labs
2500 N DETROIT ST, LAGRANGE, IN 46761(260) 463-2133(260) 463-3775 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2020, Jul 30, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Northeast Internal Medicine Associates, Pc NPPES

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

NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC (NPI 1174518500) is a healthcare organization registered as an internal medicine in Lagrange, Indiana and active in the NPI registry since September 2005. The organization holds 2 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Shashank Nmi Kashyap, President/owner, as its authorized official.

NPPES Registry Identity

NPI1174518500
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHEAST INTERNAL MEDICINE ASSOCIATES, PC
Location Address2500 N DETROIT STLagrange, IN 46761-1158
Mailing AddressPo Box 236Lagrange, IN 46761-0236 · (260) 463-2133 · Fax (260) 463-3775
Phone(260) 463-2133
Fax(260) 463-3775
Organization SubpartNo
Authorized OfficialShashank Nmi KashyapPresident/owner · (260) 463-2133
Enumeration DateSeptember 12, 2005
Last NPPES UpdateSeptember 2, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1174518500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2500 N DETROIT ST, Lagrange, IN 46761
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Secondary Practice Locations 5

Location 12003 Stults Rd Ste 220Huntington, IN 46750-1291 · Phone (260) 463-2133 · Fax (260) 463-3775
Location 2610 N Sawyer RdKendallville, IN 46755-2566 · Phone (260) 347-5592 · Fax (260) 347-5155
Location 3885 W Connexion Way Ste 200Columbia City, IN 46725-1045 · Phone (260) 463-2133 · Fax (260) 463-3775
Location 41310 E 7th St Ste GAuburn, IN 46706-2518 · Phone (260) 463-2133 · Fax (260) 463-3775
Location 51655 N Cass StWabash, IN 46992-9416 · Phone (260) 463-2133 · Fax (260) 463-3775

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Internal Medicine Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Northeast Internal Medicine Associates, PC, which bills Medicare for the services they deliver. Of these, 36 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner39
Internal Medicine17
Family Practice2
Diagnostic Radiology1
General Practice1

Nearest to this location (20)

See all 60
Shilpa Kashyap, MD
Diagnostic Radiology
NPI 1003888116
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Musa Abdalla, M. D.
Family Practice
NPI 1548552375
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Yusfa Ameir, NP
Nurse Practitioner
NPI 1609677483
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Ahad Ayaz, MD
Internal Medicine
NPI 1497160642
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Courtney Boggs
Nurse Practitioner
NPI 1861844037
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Megan Buuck, FNP
Nurse Practitioner
NPI 1578054193
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Decoma Cavender, FNP-BC
Nurse Practitioner
NPI 1750954178
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Jillian Early, NP
Nurse Practitioner
NPI 1871226035
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Jonathan Fansler, NP
Nurse Practitioner
NPI 1366193377
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Audrey Fazio, NP
Nurse Practitioner
NPI 1821850793
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Lauren Fiandt, AGNP-BC
Nurse Practitioner
NPI 1114449329
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Sana Habib, MD
Internal Medicine
NPI 1275266488
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Ahrarul Haque, MD
Family Practice
NPI 1881008647
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Hasan Ilyas, MD
Internal Medicine
NPI 1144908567
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Vijay Kamineni, M.D.
Internal Medicine
NPI 1043278294
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Aqsa Khan, MD
Internal Medicine
NPI 1144970401
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Isaac Leon-Acuna, MD
Internal Medicine
NPI 1548887714
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Sumant Nanduri, MBBS, MD
Internal Medicine
NPI 1922688639
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Shelene Ruggio, M.D.
General Practice
NPI 1619087707
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
Muhammad Zaman, MD
Internal Medicine
NPI 1639808009
2500 N DETROIT ST
Lagrange, IN 46761
(260) 463-2133
✔ PECOS✔ Accepts MedicareSame address
See all 60 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1026317

Northeast Internal Medicine Associates · Kendallville, IN
Active · expires Jun 1, 2028
CLIA Number15D1026317
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorJan S. Abdali
Laboratory Phone(260) 347-5592
Laboratory LocationNortheast Internal Medicine Associates610 N Sawyer Rd, Kendallville, IN 46755
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D1005772

Northeast Internal Medicine Assc PC PO Box 236 · Lagrange, IN
Active · expires Oct 29, 2028
CLIA Number15D1005772
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2026
Certificate Expiration DateOctober 29, 2028
Laboratory DirectorShashank Kashyap
Laboratory Phone(260) 463-2133
Laboratory LocationNortheast Internal Medicine Assc PC PO Box 2362500 N Detroit St, Lagrange, IN 46761
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Northeast Internal Medicine Associates, PC's NPI number?

The NPI number for Northeast Internal Medicine Associates, PC is 1174518500. It was assigned to this organization in the NPPES registry on September 12, 2005.

Where is Northeast Internal Medicine Associates, PC located?

Northeast Internal Medicine Associates, PC is located at 2500 N Detroit St, Lagrange, IN 46761. The listed phone number is (260) 463-2133.

What is Northeast Internal Medicine Associates, PC's specialty?

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

Is Northeast Internal Medicine Associates, PC enrolled in Medicare?

Yes. Northeast Internal Medicine Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Internal Medicine Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeast Internal Medicine Associates, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (39), Internal Medicine (17) and Family Practice (2). Of these, 36 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeast Internal Medicine Associates, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northeast Internal Medicine Associates, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Northeast Internal Medicine Associates, PC 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 Northeast Internal Medicine Associates, PC was last updated on September 2, 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.