Cep America - Illinois Snf, LLP
NPI 1073069415ActiveOrganization· Internal Medicine· Belleville, IL
Internal Medicine in Belleville, Illinois, registered in NPPES in August 2016. The authorized official on file is Theophile Koury, MD, Administrative Vp Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073069415 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2016 |
| Last updated in NPPES | Nov 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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 (IL) |
|---|
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