Proto360, LLC
NPI 1043136526ActiveOrganization· Preventive Medicine, Obesity Medicine· Annapolis, MD
Preventive Medicine, Obesity Medicine in Annapolis, Maryland, registered in NPPES in June 2026. The authorized official on file is Katrina Mattingly, MD, Founding Partner.
Overview
| NPI | 1043136526 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2026 |
| Last updated in NPPES | Jun 29, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preventive Medicine, Obesity Medicine Primary | 2083B0002X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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