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

Muni K Theertham, MD

Individual provider Internal Medicine Physician · NPI 1114183449

Muni K Theertham, MD is a Hospitalist in Kokomo, Indiana. Qualified in 2005, 21 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
21
Licensed in
IN, MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3500 S Lafountain St
Kokomo, IN 46902-3803
Phone: (765) 776-3020
Fax: (765) 453-8111
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01069020A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301091596 (MI)

Record details

NPI number1114183449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 6, 2008
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 16, 2020
Mailing address6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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