Diagnostic Clinic Medical Group Inc
NPI 1124440912ActiveOrganization· Internal Medicine, Gastroenterology· Clearwater, FL
Internal Medicine, Gastroenterology in Clearwater, Florida, registered in NPPES in January 2014. The authorized official on file is Gina M. Prebeck, Vp Of Operations.
Overview
| NPI | 1124440912 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2014 |
| Last updated in NPPES | Nov 25, 2020 |
| Certified by provider | Nov 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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