Summit Gastroenterology PLLC
NPI 1114355385ActiveOrganization· Internal Medicine, Gastroenterology· Mansfield, TX
Internal Medicine, Gastroenterology in Mansfield, Texas, registered in NPPES in October 2013. The authorized official on file is Sunitha Pudhota, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114355385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2013 |
| Last updated in NPPES | May 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | P1484 | TX |
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 (TX) |
|---|
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