MICHIANA NEUROLOGIC MEDICINE, PC
NPI 1336414499
Psychiatry & Neurology - Neurology in Mishawaka, IN

Active since March 21, 2012
1710 E DAY RD, MISHAWAKA, IN 46545(574) 252-7795(574) 252-7796 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michiana Neurologic Medicine, Pc NPPES

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

MICHIANA NEUROLOGIC MEDICINE, PC (NPI 1336414499) is a healthcare organization registered as a neurology in Mishawaka, Indiana and active in the NPI registry since March 2012. The organization lists Kevin R Kristl, M.d., as its authorized official.

NPPES Registry Identity

NPI1336414499
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMICHIANA NEUROLOGIC MEDICINE, PC
Location Address1710 E DAY RDMishawaka, IN 46545-4300
Mailing Address1710 E Day RdMishawaka, IN 46545-4300 · (574) 252-7795 · Fax (574) 252-7796
Fax(574) 252-7796
Organization SubpartNo
Authorized OfficialKevin R KristlM.d. · (574) 252-7795
Enumeration DateMarch 21, 2012
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
NPI 1336414499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IN · 01037448A
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1710 E DAY RD, Mishawaka, IN 46545

Other Identifiers 1

Medicaid100179640IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Neurology)
1710 E DAY RD
MISHAWAKA, IN 46545
Family Medicine
1710 E DAY RD
MISHAWAKA, IN 46545
Family Medicine
1710 E DAY RD
MISHAWAKA, IN 46545

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 Michiana Neurologic Medicine, PC's NPI number?

The NPI number for Michiana Neurologic Medicine, PC is 1336414499. It was assigned to this organization in the NPPES registry on March 21, 2012.

Where is Michiana Neurologic Medicine, PC located?

Michiana Neurologic Medicine, PC is located at 1710 E Day Rd, Mishawaka, IN 46545. The listed phone number is (574) 252-7795.

What is Michiana Neurologic Medicine, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Michiana Neurologic Medicine, PC was last updated on February 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.