George Idiculla Md,pa
NPI 1013289859ActiveOrganization· Internal Medicine· Rockledge, FL
Internal Medicine in Rockledge, Florida, registered in NPPES in February 2012. The authorized official on file is George A. Idiculla, M.D, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013289859 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2012 |
| Last updated in NPPES | Jul 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME0066869 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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