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NPI 1235227794

NPI 1235227794DeactivatedUnknown

This NPI was deactivated on Jan 1, 2026. Claims billed under a deactivated NPI are rejected.

This NPI was deactivated in January 2026. Provider. 232 Medicare patients in 2024, $487,632 paid; nearly all of their 984 Part D prescriptions were generic (90%).

Overview

NPI1235227794
StatusDeactivated Jan 1, 2026
Entity typeUnknown

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients232
Services billed20,700 across 115 procedure codes
Paid by Medicare$487,632

Part D prescriptions in 2024

Prescriptions (claims)984 · 1,134 30-day fills
Patients129
Total drug cost$543,096
Generic share90% of claims

Medicare sources and data years