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Blue Crescent Blue Star Medical of Indiana, Inc

NPI 1235438185ActiveOrganization· Internal Medicine· Fort Wayne, IN

Internal Medicine in Fort Wayne, Indiana, registered in NPPES in March 2011. The authorized official on file is Sundiata M. El-Amin, M.D., Owner.

Overview

NPI1235438185
StatusActive
Entity typeOrganization
NPI issuedMar 17, 2011
Last updated in NPPESMar 17, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Internal Medicine providers in Fort Wayne

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