Impact Orthopedics & Sports Medicine, LLC
NPI 1023697406ActiveOrganization· Orthopaedic Surgery· Prairie Village, KS
Orthopaedic Surgery in Prairie Village, Kansas, registered in NPPES in April 2021. The authorized official on file is Michael Gabriel Azzam, MD, Owner. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1023697406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 5, 2021 |
| Last updated in NPPES | Dec 24, 2021 |
| Certified by provider | Dec 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (KS); Part B Supplier - Clinic/Group Practice (KS) |
|---|
Other Orthopaedic Surgery providers in Prairie Village
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