Summit Geriatrics LLC
NPI 1073745493ActiveOrganization· Family Medicine, Geriatric Medicine· Lees Summit, MO
Family Medicine, Geriatric Medicine in Lees Summit, Missouri, registered in NPPES in August 2009. The authorized official on file is Shyam K. Akkulugari, MD, Ceo/Sole Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1073745493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2009 |
| Last updated in NPPES | Dec 7, 2020 |
| Certified by provider | Dec 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | — | — |
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 Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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