Wake Family Medicine PC
NPI 1215162466ActiveOrganization· General Practice· Cary, NC
General Practice in Cary, North Carolina, registered in NPPES in May 2009. The authorized official on file is Mrinalini Sujala Kodumagulla, MD, Owner/Physican. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215162466 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2009 |
| Last updated in NPPES | Sep 30, 2019 |
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 (NC) |
|---|
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