Acquaro Medical Practice, PC
NPI 1063276590ActiveOrganization· Family Medicine· Fort Wayne, IN
Family Medicine in Fort Wayne, Indiana, registered in NPPES in February 2024. The authorized official on file is Dominick Joseph Acquaro, DO, Lead Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063276590 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2024 |
| Last updated in NPPES | Feb 6, 2024 |
| Certified by provider | Feb 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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