Dfw Primary Care PLLC
NPI 1063835361ActiveOrganization· Internal Medicine· Irving, TX
Internal Medicine in Irving, Texas, registered in NPPES in January 2014. The authorized official on file is Sumana Ketha, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063835361 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2014 |
| Last updated in NPPES | Feb 4, 2020 |
| Certified by provider | Feb 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| In Home Supportive Care | 253Z00000X | — | 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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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