Med Surg Physician Group, Inc.
NPI 1063943678ActiveOrganization· Specialist· Beckley, WV
Specialist in Beckley, West Virginia, registered in NPPES in March 2017. The authorized official on file is Olu R. Sangodeyi, M. D., Owner, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063943678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2017 |
| Last updated in NPPES | Sep 8, 2026 |
| Certified by provider | Sep 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 21042 | WV |
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 (WV) |
|---|
Other Specialist providers in Beckley
- 1861693202
- 1346230877
- 1982764908
- 1578554432
- 1114236247
- 1801137104
- 1538826326
- 1568206381
- 1407136385
- 1720057912
- 1861575839
- 1841522620