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Healthy Aging Enterprise, LLC

Internal Medicine Physician in Fishers, IN · enumerated 2016 · authorized official Marwan Mustaklem, Mbr.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417315102

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Registry record

Entity type Organization (Type 2)
Legal business name Healthy Aging Enterprise, LLC
Practice address 10926 Belle Plaine Blvd, Fishers, IN, 46037
Phone (317) 985-9501
Enumeration date Feb 9, 2016
Last updated in NPPES Feb 9, 2016

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Marwan Mustaklem
Title Mbr
Phone (317) 985-9501

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Healthy Aging Enterprise, LLC?
The NPI for Healthy Aging Enterprise, LLC is 1417315102, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Healthy Aging Enterprise, LLC?
NPPES lists Marwan Mustaklem (Mbr) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-09.