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Jerusalem Desalgn Derbew

NPI 1235982778ActiveIndividual· Driver· Dallas, TX

Driver in Dallas, Texas, licensed in TX, with an NPI issued in April 2024.

Overview

NPI1235982778
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 5, 2024
Last updated in NPPESMay 24, 2024
Certified by providerMay 24, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Driver Primary172A00000X99-1864371TX

About license numbers in NPPES

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

Medicare sources and data years

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