Annadel Medical Group, Inc
NPI 1114177425ActiveOrganization· Pediatrics· Santa Rosa, CA
Pediatrics in Santa Rosa, California, registered in NPPES in September 2008. The authorized official on file is Richard E. Igram, Vice President.
Overview
| NPI | 1114177425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2008 |
| Last updated in NPPES | May 31, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 59 pediatricians in Santa Rosa · All pediatricians in California