Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Active since March 21, 2012

14404 STATE ROAD 23 STE B, GRANGER, IN 46530(574) 252-7795(574) 252-7796 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 Granger, 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 Address14404 STATE ROAD 23 STE BGranger, IN 46530-7778

Mailing Address1710 E Day RdMishawaka, IN 46545-4300 · (574) 252-7795 · Fax (574) 252-7796

Phone(574) 252-7795

Fax(574) 252-7796

Organization SubpartNo

Authorized OfficialKevin R KristlM.d. · (574) 252-7795

Enumeration DateMarch 21, 2012

Last NPPES UpdateJuly 31, 2026

NPPES CertifiedJuly 31, 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.

14404 STATE ROAD 23 STE B, Granger, IN 46530

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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

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

KEVIN R KRISTL M.D.

Psychiatry & Neurology (Neurology)

14404 STATE ROAD 23 STE B
GRANGER, IN 46530

St. Joseph County (574) 252-7795

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 14404 State Road 23 Ste B, Granger, IN 46530. 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 July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.