Dekalb Physicians Clinic LLC
NPI 1265565691ActiveOrganization· Family Medicine· De Kalb, TX
Family Medicine in De Kalb, Texas, registered in NPPES in March 2007. The authorized official on file is Kyle Wayne Groom, DO, Owner - Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265565691 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2007 |
| Last updated in NPPES | Jan 30, 2023 |
| Certified by provider | Jan 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | L5749 | TX |
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 (TX) |
|---|
Other Family Medicine providers in De Kalb
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