Palm Beach Vascular and Wound Care PA
NPI 1093266314ActiveOrganization· Internal Medicine, Cardiovascular Disease· Jupiter, FL
Internal Medicine, Cardiovascular Disease in Jupiter, Florida, registered in NPPES in October 2016. The authorized official on file is Suresh B. Kacham, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093266314 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2016 |
| Last updated in NPPES | Feb 15, 2024 |
| Certified by provider | Feb 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | ME77546 | FL |
| Internal Medicine | 207R00000X | ME77546 | FL |
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 (FL) |
|---|
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