Emad F Wissa MD PC
NPI 1083016000ActiveOrganization· Specialist· Glendale, AZ
Specialist in Glendale, Arizona, registered in NPPES in September 2014. The authorized official on file is Emad F. Wissa, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083016000 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2014 |
| Last updated in NPPES | Jul 12, 2023 |
| Certified by provider | Jul 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 33025 | AZ |
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 (AZ) |
|---|
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