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DR. TEOFILO S BAUTISTA M.D., P.C.
NPI 1801894076
Family Medicine in Gary, IN

Active since July 12, 2005
642 S LAKE ST, GARY, IN 46403(219) 938-4481(219) 938-6480 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

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

DR. TEOFILO S BAUTISTA M.D., P.C. (NPI 1801894076) is an individual family medicine provider in Gary, Indiana, licensed in Indiana (01032450) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1801894076
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TEOFILO S BAUTISTACredential: M.D., P.C.
Location Address642 S LAKE STGary, IN 46403-2967
Mailing Address8135 Calumet AveMunster, IN 46321-1701 · (219) 513-2000 · Fax (219) 513-2001
Phone(219) 938-4481
Fax(219) 938-6480
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1801894076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01032450
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
642 S LAKE ST, Gary, IN 46403
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Other Identifiers 3

Medicaid100169010AIN
Medicare UPIND69692IN
Medicare ID-Type Unspecified492870AIN

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.

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

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 Bautista's NPI number?

The NPI number for Teofilo Bautista is 1801894076. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Teofilo Bautista located?

Teofilo Bautista practices at 642 S Lake St, Gary, IN 46403. The listed phone number is (219) 938-4481.

What is Teofilo Bautista's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Teofilo Bautista was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.