Steele Lake Specialty PLLC
NPI 1215716998ActiveOrganization· Surgery· Idaho Falls, ID
Surgery in Idaho Falls, Idaho, registered in NPPES in September 2023. The authorized official on file is Abra Wasia, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215716998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2023 |
| Last updated in NPPES | Jul 17, 2026 |
| Certified by provider | Jul 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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 (ID) |
|---|
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