Credo Health Group, LLC
NPI 1407203672 · Family Medicine Physician · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Credo Health Group, LLC is a Family Medicine Physician organization in Fort Wayne, IN (NPI 1407203672).
Provider details
- NPI number
- 1407203672
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Mullally, Owner(260) 445-5829
- License
- 01074259A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Credo Family Medicine
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2025-02-14
- Certified
- 2025-02-10
Frequently asked questions
- What is Credo Health Group, LLC's NPI number?
- Credo Health Group, LLC's National Provider Identifier (NPI) is 1407203672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Credo Health Group, LLC?
- Credo Health Group, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Credo Health Group, LLC located?
- Credo Health Group, LLC's practice location on file with NPPES is 10050 Auburn Park Dr, Fort Wayne, IN 46825-2389.
- What is Credo Health Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Credo Health Group, LLC is (260) 432-6459.
- Does Credo Health Group, LLC accept Medicare?
- Credo Health Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Credo Health Group, LLC?
- The authorized official listed on Credo Health Group, LLC's NPPES record is Andrew Mullally, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Credo Health Group, LLC's NPI active?
- Yes — Credo Health Group, LLC's NPI (1407203672) is active in the NPPES registry as of the last update on 2025-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.