Wellformed AI

NPI 1134869522 · live from the CMS NPI Registry

Maryam Jameelah Adisa

Family Medicine in Merrillville, IN. National Provider Identifier 1134869522, active.

NPI record

NPI1134869522 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location751 E 81st Ave, Merrillville, IN 46410
Practice phone219-791-9389
EnumeratedApril 1, 2022
Last updatedJuly 6, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000X02008985A (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.