Primary Care 360
NPI 1124678586ActiveOrganization· Family Medicine· Sherwood, AR
Family Medicine in Sherwood, Arkansas, registered in NPPES in September 2019. The authorized official on file is Khalid Rayaz, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124678586 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2019 |
| Last updated in NPPES | Oct 21, 2020 |
| Certified by provider | Oct 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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 (AR) |
|---|
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