Santibanez Pac Indiana
NPI 1255106852ActiveOrganization· Internal Medicine, Geriatric Medicine· Indianapolis, IN
Internal Medicine, Geriatric Medicine in Indianapolis, Indiana, registered in NPPES in November 2023. The authorized official on file is Julie Roser, Vp Of Operations.
Overview
| NPI | 1255106852 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2023 |
| Last updated in NPPES | Nov 24, 2023 |
| Certified by provider | Nov 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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