Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lutheran Medical Group LLC

Organization Internal Medicine Physician · NPI 1164662805

Lutheran Medical Group LLC is an Internal Medicine Physician in Fort Wayne, Indiana. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 432-2297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Internal Medicine Physician Taxonomy 207R00000X
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Nuclear Cardiology Physician Taxonomy 207UN0901X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1164662805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina Music — Director, Provider Enrollment · (877) 892-9815
NPI enumeratedFebruary 20, 2009
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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