Adult Geriatric Care Group
NPI 1164174272ActiveOrganization· Internal Medicine, Nephrology· Peoria, AZ
Internal Medicine, Nephrology in Peoria, Arizona, registered in NPPES in January 2022. The authorized official on file is Amory Godwin Caringal Grijaldo, AGACNP-BC, Nurse Practitioner/Owner.
Overview
| NPI | 1164174272 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2022 |
| Last updated in NPPES | May 30, 2023 |
| Certified by provider | May 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine, Nephrology providers in Peoria
- 1164611596
- 1215388855
- 1952353633
- 1821042540
- 1013962729
- 1407800212
- 1437102845
- 1679779722
- 1154316495
- 1639480452
- 1215921135
- 1023002946