Edgewater Systems for Balanced Living, Inc.
NPI 1699225698ActiveOrganization· Internal Medicine· Merrillville, IN
Internal Medicine in Merrillville, Indiana, registered in NPPES in October 2016, part of Edgewater Systems for Balanced Living, Inc. The authorized official on file is Danita Johnson Hughes, PHD., President/Ceo.
Overview
| NPI | 1699225698 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Edgewater Systems for Balanced Living, Inc. |
| NPI issued | Oct 13, 2016 |
| Last updated in NPPES | Nov 22, 2024 |
| Certified by provider | Nov 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 01033511A | IN |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
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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