Fundamental Health, Inc
NPI 1114529237 · Internal Medicine Physician · Lafayette, IN
Fundamental Health, Inc is a Internal Medicine Physician organization in Lafayette, IN (NPI 1114529237).
Provider details
- NPI number
- 1114529237
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Miranda, Practice Manager(765) 838-2310
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 412 E Southway BlvdKokomo, IN 46902-3814Phone: (765) 252-0453Fax: (765) 865-8070
- 1221 South CreasySuite K3Lafayette, IN 47905Phone: (812) 269-1084Fax: (812) 287-8518
Registry dates
- Enumerated
- 2020-11-13
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Fundamental Health, Inc's NPI number?
- Fundamental Health, Inc's National Provider Identifier (NPI) is 1114529237, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fundamental Health, Inc?
- Fundamental Health, Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fundamental Health, Inc located?
- Fundamental Health, Inc's practice location on file with NPPES is 1221 S Creasy Ln Ste K3, Lafayette, IN 47905-7430.
- What is Fundamental Health, Inc's phone number?
- The practice phone number listed in the NPPES registry for Fundamental Health, Inc is (765) 838-2310.
- Who is the authorized official for Fundamental Health, Inc?
- The authorized official listed on Fundamental Health, Inc's NPPES record is Julie Miranda, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fundamental Health, Inc's NPI active?
- Yes — Fundamental Health, Inc's NPI (1114529237) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.