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TEOFILO S. BAUTISTA, M.D., P.C
NPI 1215110200
Clinic/Center - Primary Care in Gary, IN

Active since December 12, 2007
642 S LAKE ST, GARY, IN 46403(219) 938-4481(219) 938-6480 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teofilo S. Bautista, M.d., P.c NPPES

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

TEOFILO S. BAUTISTA, M.D., P.C (NPI 1215110200) is a healthcare organization registered as a primary care in Gary, Indiana and active in the NPI registry since December 2007. The organization lists Teofilo Bautista, President, as its authorized official.

NPPES Registry Identity

NPI1215110200
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTEOFILO S. BAUTISTA, M.D., P.C
Location Address642 S LAKE STGary, IN 46403-2967
Mailing Address642 S Lake StGary, IN 46403-2967 · (219) 938-4481 · Fax (219) 938-6480
Phone(219) 938-4481
Fax(219) 938-6480
Organization SubpartNo
Authorized OfficialTeofilo BautistaPresident · (219) 938-4481
Enumeration DateDecember 12, 2007
✔ NPI 1215110200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IN · 01032450A
642 S LAKE ST, Gary, IN 46403
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN492870AIN
Medicare UPIND69692IN

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.

NWI PRIMARY CARE LLC
Family Medicine
642 S LAKE ST
GARY, IN 46403
Lake County (219) 794-4024
DR. TEOFILO S BAUTISTA M.D., P.C.
Family Medicine
642 S LAKE ST
GARY, IN 46403
Lake County (219) 938-4481

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 Teofilo S. Bautista, M.D., P.C's NPI number?

The NPI number for Teofilo S. Bautista, M.D., P.C is 1215110200. It was assigned to this organization in the NPPES registry on December 12, 2007.

Where is Teofilo S. Bautista, M.D., P.C located?

Teofilo S. Bautista, M.D., P.C is located at 642 S Lake St, Gary, IN 46403. The listed phone number is (219) 938-4481.

What is Teofilo S. Bautista, M.D., P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Teofilo S. Bautista, M.D., P.C was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.