Interwell Health Medical Group PLLC
NPI 1255162566ActiveOrganization· Internal Medicine, Nephrology· San Juan, PR
Internal Medicine, Nephrology in San Juan, Puerto Rico, registered in NPPES in August 2024. The authorized official on file is Julie Dominguez, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1255162566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2024 |
| Last updated in NPPES | Jan 27, 2025 |
| Certified by provider | Jan 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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 (AR); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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