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Glendale Advanced Health, LLC

NPI 1992311104ActiveOrganization· General Practice· Indianapolis, IN

General Practice in Indianapolis, Indiana, registered in NPPES in September 2020. The authorized official on file is Joseph Fortunato, Owner.

Overview

NPI1992311104
StatusActive
Entity typeOrganization
NPI issuedSep 22, 2020
Last updated in NPPESSep 23, 2021
Certified by providerSep 1, 2021

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

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

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