Ponderosa Family Care, LLC
NPI 1144535626ActiveOrganization· Internal Medicine· Payson, AZ
Internal Medicine in Payson, Arizona, registered in NPPES in August 2010. The authorized official on file is Alan P. Michels, Physician. Enrolled in Medicare as dme supplier - physician - internal medicine and part b supplier - clinic/group practice.
Overview
| NPI | 1144535626 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 9, 2010 |
| Last updated in NPPES | Dec 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 29337 | AZ |
| Pediatrics | 208000000X | 29337 | AZ |
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) | Enrolled DME Supplier - Physician - Internal Medicine (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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