Performance Sports Medical Center LLC
NPI 1073158655ActiveOrganization· General Practice· Greenwood Village, CO
General Practice in Greenwood Village, Colorado, registered in NPPES in November 2019. The authorized official on file is Nathanael Williams, Employee.
Overview
| NPI | 1073158655 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2019 |
| Last updated in NPPES | Nov 7, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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