The Diep Group CT PLLC
NPI 1164143566ActiveOrganization· Plastic Surgery· Trumbull, CT
Plastic Surgery in Trumbull, Connecticut, registered in NPPES in September 2022. The authorized official on file is Shareef Jandali, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164143566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2022 |
| Last updated in NPPES | Feb 29, 2024 |
| Certified by provider | Feb 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
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 Part B Supplier - Clinic/Group Practice (CT) |
|---|
Other Plastic Surgery providers in Trumbull
- 1386821700