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NPI 1780488387ActiveOrganization· Family Medicine· Indianapolis, IN

Family Medicine in Indianapolis, Indiana, registered in NPPES in April 2025. The authorized official on file is Amanda Wilkinson, Business Operations Director.

Overview

NPI1780488387
StatusActive
Entity typeOrganization
NPI issuedApr 2, 2025
Last updated in NPPESSep 22, 2025
Certified by providerSep 22, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Indianapolis

All Family Medicine providers in Indiana →