Kamran Goudarzi Surgical Practice PC
NPI 1013494400ActiveOrganization· Surgery· Wilmington, NC
Surgery in Wilmington, North Carolina, registered in NPPES in July 2018. The authorized official on file is Kamran Goudarzi, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013494400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2018 |
| Last updated in NPPES | May 14, 2020 |
| Certified by provider | May 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | NC |
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 (NC) |
|---|
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