Terry Ebert, MD, Inc
Terry Ebert, MD, Inc is a healthcare organization registered as Medical Specialty Clinic/Center in Munster, IN, holding Type 2 (organization) NPI 1417173717 since 2007. The authorized official on file is Terry Ebert, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417173717 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Terry Ebert, MD, Inc |
| Practice address | 509 RIDGE RD, SUITE 1, Munster, IN, 46321 |
| Phone | 2198361050 |
| Fax | 2198364969 |
| Enumeration date | 2007-04-17 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Terry Ebert |
|---|---|
| Title | President |
| Phone | 2198361050 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Primary | 01022150A | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01022150A | Other | — | PHYSICIAN LICENSE NUMBER |
| 50001124A | Other | IN | CORPORATION REGISTRATION |
Copy-ready billing details
Provider: Terry Ebert, MD, Inc NPI: 1417173717 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 509 RIDGE RD, SUITE 1, Munster, IN, 46321
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972646461 | David Radovich | Individual | General Practice Dentistry | Munster, IN |
| 1871880112 | Adult and Pediatric Eye Specialists Corp | Organization | Ophthalmology Physician | Munster, IN |
| 1255755245 | Stand Up Open Mri of Indiana LLC | Organization | Magnetic Resonance Imaging (MRI) Clinic/Center | Munster, IN |
Verify this record
Cross-check NPI 1417173717 against the authoritative CMS record: view Terry Ebert, MD, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Terry Ebert, MD, Inc?
What is the NPI number for Terry Ebert, MD, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.