Gateway OBGYN Associates PLLC
NPI 1134355902ActiveOrganization· Obstetrics & Gynecology· Detroit, MI
Obstetrics & Gynecology in Detroit, Michigan, registered in NPPES in June 2009. The authorized official on file is Theodore Kevin Graham, MD, President.
Overview
| NPI | 1134355902 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2009 |
| Last updated in NPPES | Jul 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | 4301050455 | MI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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