Integrated Wound Care Maryland LLC
NPI 1154963056ActiveOrganization· General Practice· Prince Frederick, MD
General Practice in Prince Frederick, Maryland, registered in NPPES in October 2019. The authorized official on file is Diane Lusas, MD, Member. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1154963056 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2019 |
| Last updated in NPPES | Feb 23, 2022 |
| Certified by provider | Feb 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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 (DC); Part B Supplier - Clinic/Group Practice (MD) |
|---|
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