Mastbaum Endocrinology
NPI 1285892752ActiveOrganization· Internal Medicine, Endocrinology, Diabetes & Metabolism· Fort Wayne, IN
Internal Medicine, Endocrinology, Diabetes & Metabolism in Fort Wayne, Indiana, registered in NPPES in May 2008. The authorized official on file is Jodie Hattery, Credentialing Coordinator.
Overview
| NPI | 1285892752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2008 |
| Last updated in NPPES | May 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | 01041346 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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