Kenzo Iom
NPI 1144903774ActiveOrganization· Electrodiagnostic Medicine· Ft Worth, TX
Electrodiagnostic Medicine in Ft Worth, Texas, registered in NPPES in August 2023. The authorized official on file is Gina Sullivan, Practice Administrator.
Overview
| NPI | 1144903774 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2023 |
| Last updated in NPPES | Aug 10, 2023 |
| Certified by provider | Aug 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Electrodiagnostic Medicine Primary | 204R00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 119 Electrodiagnostic Medicine providers in Ft Worth · All Electrodiagnostic Medicine providers in Texas