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NPI 1558150383ActiveOrganization· Family Medicine, Geriatric Medicine· Indianapolis, IN
Family Medicine, Geriatric Medicine in Indianapolis, Indiana, registered in NPPES in May 2025. The authorized official on file is Tyler Elizabeth Crider, RN, Owner/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558150383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2025 |
| Last updated in NPPES | Nov 7, 2025 |
| Certified by provider | Nov 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
| Case Management | 251B00000X | — | — |
| Nursing Care | 251J00000X | — | — |
| In Home Supportive Care | 253Z00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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All 21 Family Medicine, Geriatric Medicine providers in Indianapolis · All Family Medicine, Geriatric Medicine providers in Indiana