Star Clinic LLC
NPI 1790058741ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Indianapolis, IN
Dentist, Oral and Maxillofacial Surgery in Indianapolis, Indiana, registered in NPPES in February 2012. The authorized official on file is Esther Russtom Ghebremichael, DDS, Owner/Dentist.
Overview
| NPI | 1790058741 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2012 |
| Last updated in NPPES | Oct 20, 2026 |
| Certified by provider | Oct 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 12011343A | IN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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