South Denver Physicians PLLC
NPI 1124463161ActiveOrganization· Internal Medicine· Centennial, CO
Internal Medicine in Centennial, Colorado, registered in NPPES in May 2013. The authorized official on file is Dmitriy I. Pales, DO, Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124463161 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2013 |
| Last updated in NPPES | Mar 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 46797 | CO |
| Psychiatry & Neurology, Neurology | 2084N0400X | 47080 | CO |
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 (CO) |
|---|
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