OrganizationActive
Terry Ebert, MD, Inc
NPI 1417173717 · Medical Specialty Clinic/Center · Munster, IN
Provider details
- NPI number
- 1417173717
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Ebert, President(219) 836-1050
- License
- 01022150A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
509 Ridge Rd
Suite 1
Munster, IN 46321-1643
Phone: (219) 836-1050
Fax: (219) 836-4969
Street-level locationGet directions
Mailing address
509 Ridge Rd
Munster, IN 46321-1643
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.