Camille Nina Immanuel, MD MHS
NPI 1295021483ActiveIndividual· Pediatrics, Pediatric Critical Care Medicine· Durham, NC
Pediatrics, Pediatric Critical Care Medicine (MD MHS) in Durham, North Carolina, licensed in UT and NJ, with an NPI issued in June 2011. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1295021483 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD MHS |
| Sole proprietor | No |
| NPI issued | Jun 26, 2011 |
| Last updated in NPPES | Feb 1, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Critical Care Medicine Primary | 2080P0203X | 10549592-1205 | UT |
| Pediatrics | 208000000X | 39 | NJ |
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 Practitioner - Pediatric Medicine (TX) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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