Medical Center for Children & Adolescents, PA
NPI 1073528998ActiveOrganization· Pediatrics· Idaho Falls, ID
Pediatrics in Idaho Falls, Idaho, registered in NPPES in July 2006. The authorized official on file is Michael Jude Pankau, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073528998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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