Olympia Medical Group, LLC
NPI 1013473495ActiveOrganization· Family Medicine· Davenport, FL
Family Medicine in Davenport, Florida, registered in NPPES in February 2019. The authorized official on file is Bala Kode, Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013473495 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2019 |
| Last updated in NPPES | Dec 22, 2023 |
| Certified by provider | Dec 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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