Stawa Rajab Blanco
NPI 1073126314ActiveIndividual· Nurse Practitioner, Family· Cincinnati, OH
Nurse Practitioner, Family with Dedicated Ohio Holding LLC, practicing in Cincinnati, Ohio. Part D covered 9,179 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1073126314 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 26, 2020 |
| Last updated in NPPES | Dec 1, 2022 |
| Certified by provider | Dec 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0026867 | OH |
| Nurse Practitioner, Family | 363LF0000X | 30144773 | KY |
| Nurse Practitioner, Family | 363LF0000X | 110700 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OH) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 9,179 · 19,310 30-day fills |
|---|---|
| Patients | 631 |
| Total drug cost | $442,115 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Dedicated Ohio Holding LLCCincinnati, OH · 6 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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