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

Revathy Ameeruddin, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1588730063

Revathy Ameeruddin, MD is a Physical Medicine and Rehabilitation in Dyer, Indiana. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in California and Indiana.

Years since qualifying
29
Licensed in
CA, IN
In the registry since
2006
Specialties on file
3
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

24 Joliet St Ste 101
Dyer, IN 46311-1705
Phone: (219) 864-2059
Fax: (219) 864-2644
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 01061500A (IN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 010-81500A (IN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A84433 (CA)

Record details

NPI number1588730063
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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