Neogeriatrics
NPI 1124259536ActiveOrganization· Internal Medicine, Geriatric Medicine· Canton, OH
Internal Medicine, Geriatric Medicine in Canton, Ohio, registered in NPPES in August 2009. The authorized official on file is Jyothi Dyavanapalli Gudla, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124259536 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2009 |
| Last updated in NPPES | Nov 19, 2024 |
| Certified by provider | Nov 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | 35-083145 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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