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CREDO HEALTH GROUP, LLC
NPI 1407203672
Family Medicine in Fort Wayne, IN

Active since May 18, 2016
10050 AUBURN PARK DR, FORT WAYNE, IN 46825(260) 432-6459(260) 240-5284 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 14, 2025, May 18, 2016 (2 updates tracked since 2016).

About Credo Health Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREDO HEALTH GROUP, LLC (NPI 1407203672), doing business as Credo Family Medicine, is a healthcare organization registered as a family medicine in Fort Wayne, Indiana and active in the NPI registry since May 2016. The organization lists Andrew J. Mullally, Owner, as its authorized official.

NPPES Registry Identity

NPI1407203672
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCREDO HEALTH GROUP, LLC
Location Address10050 AUBURN PARK DRFort Wayne, IN 46825-2389
Mailing Address10050 Auburn Park DrFort Wayne, IN 46825-2389 · (260) 432-6459 · Fax (260) 240-5284
Phone(260) 432-6459
Fax(260) 240-5284
Organization SubpartNo
Authorized OfficialAndrew J. MullallyOwner · (260) 445-5829
Enumeration DateMay 18, 2016
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1407203672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01074259A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10050 AUBURN PARK DR, Fort Wayne, IN 46825
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Other Names 1

Doing Business AsCredo Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW J MULLALLY MD
Family Medicine
10050 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 432-6459
NICHOLAS MARTIN LESCH PHYSICIAN ASSISTANT
Physician Assistant
10050 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 432-6459
CASSANDRA KAISER
Physician Assistant (Medical)
10050 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 432-6459
JULIE ANN FUNFROCK DO
Family Medicine
10050 AUBURN PARK DR
FORT WAYNE, IN 46825
Allen County (260) 432-6459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Credo Health Group, LLC's NPI number?

The NPI number for Credo Health Group, LLC is 1407203672. It was assigned to this organization in the NPPES registry on May 18, 2016.

Where is Credo Health Group, LLC located?

Credo Health Group, LLC is located at 10050 Auburn Park Dr, Fort Wayne, IN 46825. The listed phone number is (260) 432-6459.

What is Credo Health Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Credo Health Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Credo Health Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Credo Health Group, LLC was last updated on February 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.