NPI 1104812593
NPI 1104812593DeactivatedUnknown
This NPI was deactivated on Nov 7, 2018. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in November 2018. Provider.
Overview
| NPI | 1104812593 |
|---|---|
| Status | Deactivated Nov 7, 2018 |
| Entity type | Unknown |
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) | Not in the public enrollment file of Oct 1, 2026 |
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