Vatanadilok Enterprise LLC
NPI 1053772236ActiveOrganization· Internal Medicine, Geriatric Medicine· San Antonio, TX
Internal Medicine, Geriatric Medicine in San Antonio, Texas, registered in NPPES in March 2016. The authorized official on file is Tanpraserth Vatanadilok, N.P., Nurse Practitioner.
Overview
| NPI | 1053772236 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2016 |
| Last updated in NPPES | Mar 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | H3885 | TX |
| Nurse Practitioner, Family | 363LF0000X | 611125 | TX |
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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