Peter A Koretsky MD PA
NPI 1124117791ActiveOrganization· Internal Medicine, Gastroenterology· Melbourne, FL
Internal Medicine, Gastroenterology in Melbourne, Florida, registered in NPPES in October 2006. The authorized official on file is Peter A. Koretsky, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124117791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Mar 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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