Canyon State Anesthesiologists PC
NPI 1265439525ActiveOrganization· Anesthesiology· Scottsdale, AZ
Anesthesiology in Scottsdale, Arizona, registered in NPPES in July 2005. The authorized official on file is Moreen Koppula, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265439525 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2005 |
| Last updated in NPPES | Jan 28, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
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 (AZ) |
|---|
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