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

Teofilo S. Bautista, MD, PC

Organization Primary Care Clinic/Center · NPI 1215110200

Teofilo S. Bautista, MD, PC is a Primary Care Clinic/Center in Gary, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

642 S Lake St
Gary, IN 46403-2967
Phone: (219) 938-4481
Fax: (219) 938-6480
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 01032450A (IN)

Record details

NPI number1215110200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teofilo Bautista — President · (219) 938-4481
NPI enumeratedDecember 12, 2007
Last updated in NPPESDecember 12, 2007
Mailing address642 S Lake St, Gary, IN 46403-2967

Other providers in Gary