NPIMap

Individual provider Active NPI

Marwan A. Mustaklem

  • Internal Medicine Physician
  • Fishers, IN
National Provider Identifier
1750357513
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01060426A Issued in IN
Practice address
8500 E 116TH St Unit 575
Fishers, IN 46038-0369
Phone
(317) 985-9501
NPI assigned
Feb 23, 2006
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01060426A IN Primary

Addresses

Primary practice location

8500 E 116TH St Unit 575
Fishers, IN 46038-0369

Mailing address

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070327000115 IN Practitioner - Internal Medicine 0941102644 Reassigns benefits to 9 organizations
I20220211002112 KY Practitioner - Internal Medicine 0941102644 Reassigns benefits to 1 organization
I20220215000321 OH Practitioner - Internal Medicine 0941102644 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Aging Enterprise LLCGroup PAC ID 2668778010, 2 clinicians
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians

Practice addresses (Care Compare)

Fishers, IN 46055
Phone (317) 985-9501

150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247

4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (855) 743-2247

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01060426AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Apr 1, 2025 Accepting new patients
Eventus Ecs, Inc Internal Medicine CurrentSince Dec 12, 2024 Accepting new patients
Extended Care Specialists, Inc Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
My Mobile MD LLC CurrentSince Apr 1, 2016 Accepting new patients
Health Centered Spine & Wellness CurrentSince Jul 25, 2017 Accepting new patients
Eventus Wholehealth Midwest Inc Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Eventus Ecs - Kentucky, PLLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Healthy Aging Enterprise, LLC Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Eventus WH Midwest Care, LLC Internal Medicine CurrentSince Oct 14, 2025 Accepting new patients
J Clayton Spine and Health LLC Internal Medicine CurrentSince Oct 10, 2024 Accepting new patients
Hoosier Health Plus, LLC CurrentSince Apr 1, 2016 Accepting new patients
Health Centered Spine & Wellness CurrentSince Jul 25, 2017 Accepting new patients
Eventus Ecs - Ohio LLC Internal Medicine CurrentSince Nov 5, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Pulmonary and Sleep Office of New England, PC Past Accepting new patients
Reliantmd Telehealth Group PLLC Internal Medicine Past Accepting new patients
St. Vincent Anderson Regional Hospital, Inc. Past Accepting new patients
Hancock Regional Hospital PastSince Jul 20, 2022 Accepting new patients
Respiratory & Critical Care Consultants P C Internal Medicine Past Accepting new patients
Advanced Healthcare Associates LLP Internal Medicine Past Accepting new patients

Locations

520 E 8th St
Anderson, IN 46012
Phone (765) 641-7700

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

5480 25th St
Columbus, IN 47203
Phone (317) 570-0266

8500 E 116th St
Unit 575
Fishers, IN 46038
Phone (317) 732-7112

3512 Stellhorn Rd
Fort Wayne, IN 46815

4430 Elsdale Dr
Fort Wayne, IN 46835
Phone (260) 485-8157

905 W Keegans Way
Ste 7
Greensburg, IN 47240
Phone (812) 519-2963

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

150 W Market St
Ste 400
Indianapolis, IN 46204

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

1725 E Tipton St
Seymour, IN 47274
Phone (812) 519-2963

1725 E Tipton St
#200
Seymour, IN 47274
Phone (812) 519-2963

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (855) 679-2366

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

Interoperability endpoints

  • Direct secure messaging: marwan.mustaklem.1@11145.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 19

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beech Grove MeadowsBeech Grove, IN, CCN 155072 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 12, 2022
Feb 23, 2026
Harrison TerraceIndianapolis, IN, CCN 155636 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 2, 2024
Apr 17, 2026
Hoosier Village Retirement CenterIndianapolis, IN, CCN 155472 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Wesley Manor Health CenterFrankfort, IN, CCN 155658 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 10, 2023
Jul 10, 2023
Allison Pointe Healthcare CenterIndianapolis, IN, CCN 155272 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2024
Sep 25, 2025
Hickory Creek at ColumbusColumbus, IN, CCN 155424 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 22, 2021
Mar 19, 2025
Hickory Creek at ConnersvilleConnersville, IN, CCN 155434 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 31, 2022
Mar 19, 2025
Kokomo Healthcare CenterKokomo, IN, CCN 155222 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2022
May 9, 2025
Alpha Home-a Waters CommunityIndianapolis, IN, CCN 155717 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2020
Aug 1, 2020
MarquetteIndianapolis, IN, CCN 155198 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Apr 7, 2025
Aspen Place Health CampusGreensburg, IN, CCN 155797 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Silver Oaks Health CampusColumbus, IN, CCN 155693 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 15, 2025
Apr 15, 2025
Bridgewater Healthcare CenterCarmel, IN, CCN 155790 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2023
Jul 31, 2025
Evergreen Crossing and the LoftsIndianapolis, IN, CCN 155826 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 20, 2022
Jun 10, 2025
The Barrington of CarmelCarmel, IN, CCN 155817 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Envive of LawrenceburgLawrenceburg, IN, CCN 155061 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 8, 2022
Oct 8, 2022
Envive of Beech GroveBeech Grove, IN, CCN 155859 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 12, 2022
Dec 12, 2022
Heritage House Rehabilitation & Health Care CenterConnersville, IN, CCN 155332 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2022
Mar 19, 2025
Robin Run Health CenterIndianapolis, IN, CCN 155505 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 11, 2025
Jul 11, 2025

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1750357513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902",
            "telephone_number": "317-338-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 E 116TH ST UNIT 575",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460380369",
            "telephone_number": "317-985-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAKLEM",
        "first_name": "MARWAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01060426A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.