Kidney & Dialysis Specialists of the Palm Beaches, PA
NPI 1033169107ActiveOrganization· Internal Medicine, Nephrology· West Palm Beach, FL
Internal Medicine, Nephrology in West Palm Beach, Florida, registered in NPPES in May 2006. The authorized official on file is Michelle Katherine Gammack-Clark, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033169107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Sep 14, 2023 |
| Certified by provider | Sep 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | ME75515 | FL |
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 Part B Supplier - Clinic/Group Practice (FL) |
|---|
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