Eastern Medical Group Corp
NPI 1093241465ActiveOrganization· General Practice· Miami, FL
General Practice in Miami, Florida, registered in NPPES in May 2017. The authorized official on file is Christian Dominguez, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093241465 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2017 |
| Last updated in NPPES | Sep 11, 2023 |
| Certified by provider | Sep 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Clinic/Center | 261Q00000X | HCC11007 | FL |
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 (FL) |
|---|
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