Healthy Aging Enterprise, LLC
NPI 1417315102 · Internal Medicine Physician · Fishers, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Healthy Aging Enterprise, LLC is a Internal Medicine Physician organization in Fishers, IN (NPI 1417315102).
Provider details
- NPI number
- 1417315102
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marwan Mustaklem, Mbr(317) 985-9501
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
Registry dates
- Enumerated
- 2016-02-09
- Last updated
- 2016-02-09
Frequently asked questions
- What is Healthy Aging Enterprise, LLC's NPI number?
- Healthy Aging Enterprise, LLC's National Provider Identifier (NPI) is 1417315102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthy Aging Enterprise, LLC?
- Healthy Aging Enterprise, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Healthy Aging Enterprise, LLC located?
- Healthy Aging Enterprise, LLC's practice location on file with NPPES is 10926 Belle Plaine Blvd, Fishers, IN 46037-7113.
- What is Healthy Aging Enterprise, LLC's phone number?
- The practice phone number listed in the NPPES registry for Healthy Aging Enterprise, LLC is (317) 985-9501.
- Does Healthy Aging Enterprise, LLC accept Medicare?
- Healthy Aging Enterprise, 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 Healthy Aging Enterprise, LLC?
- The authorized official listed on Healthy Aging Enterprise, LLC's NPPES record is Marwan Mustaklem, Mbr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthy Aging Enterprise, LLC's NPI active?
- Yes — Healthy Aging Enterprise, LLC's NPI (1417315102) is active in the NPPES registry as of the last update on 2016-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.