Mountainstate Infectious Disease, PLLC
NPI 1114491792ActiveOrganization· Internal Medicine, Infectious Disease· Bridgeport, WV
Internal Medicine, Infectious Disease in Bridgeport, West Virginia, registered in NPPES in January 2019. The authorized official on file is Dino Delaportas, MD, Md/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114491792 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2019 |
| Last updated in NPPES | Jan 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | — | — |
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 (WV) |
|---|
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