Physician Services of Missouri LLC
NPI 1164792032ActiveOrganization· Family Medicine· Kirksville, MO
Family Medicine in Kirksville, Missouri, registered in NPPES in January 2012, part of Vaxcare Corporation. The authorized official on file is Casey Deloach, Manager. Enrolled in Medicare as part b supplier - centralized flu biller.
Overview
| NPI | 1164792032 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vaxcare Corporation |
| NPI issued | Jan 9, 2012 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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 - Centralized Flu Biller (TX) |
|---|
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