Enroute Provider Services LLC
NPI 1285485920ActiveOrganization· General Practice· Glendale, AZ
General Practice in Glendale, Arizona, registered in NPPES in April 2024. The authorized official on file is Dunedin Hervias, MBA, MHA, LSSBB, Founder.
Overview
| NPI | 1285485920 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2024 |
| Last updated in NPPES | Jun 20, 2024 |
| Certified by provider | Jun 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| 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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