Fort Wayne Primary Care LLC
NPI 1528707619ActiveOrganization· Internal Medicine· Fort Wayne, IN
Internal Medicine in Fort Wayne, Indiana, registered in NPPES in May 2022. The authorized official on file is Vishaal Veerula, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528707619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2022 |
| Last updated in NPPES | May 27, 2022 |
| Certified by provider | May 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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