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NPI 1588122162ActiveOrganization· Family Medicine, Geriatric Medicine· Indianapolis, IN
Family Medicine, Geriatric Medicine in Indianapolis, Indiana, registered in NPPES in March 2019. The authorized official on file is Joe Banks, DO, Member.
Overview
| NPI | 1588122162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2019 |
| Last updated in NPPES | Apr 21, 2020 |
| Certified by provider | Apr 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
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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