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NPI 1134912124ActiveOrganization· Emergency Medicine· Morrisville, NC

Emergency Medicine in Morrisville, North Carolina, registered in NPPES in May 2025. The authorized official on file is Kim Larsen, Vp, Credetentialing. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1134912124
Status	Active
Entity type	Organization
NPI issued	May 23, 2025
Last updated in NPPES	May 23, 2025
Certified by provider	May 23, 2025

Specialties and licenses

Taxonomy	Code	License	State
Emergency Medicine Primary	207P00000X	—	—
Family Medicine	207Q00000X	—	—
Internal Medicine	207R00000X	—	—

About license numbers in NPPES

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 (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

Other Emergency Medicine providers in Morrisville

Duke University Affiliated Physicians, Inc.
Morrisville, NC · Organization
1710136080
Vigilint Protective Health Solutions, PLLC
Morrisville, NC · Organization
1154064822
Julia Sudjai Evans, M.D.
Morrisville, NC · Individual
1063602332
Rahul A. Patel, M.D.
Morrisville, NC · Individual
1699068478
Elysia Smith, DO
Morrisville, NC · Individual
1871889170

All Emergency Medicine providers in North Carolina →