Prime Health Medical Clinic, PA
NPI 1063781094ActiveOrganization· Internal Medicine, Nephrology· Charlotte, NC
Internal Medicine, Nephrology in Charlotte, North Carolina, registered in NPPES in December 2011. The authorized official on file is Sylvester I. Ogbata, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063781094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2011 |
| Last updated in NPPES | Sep 23, 2021 |
| Certified by provider | Sep 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — | — |
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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