Medical Practices of Antietam LLC
NPI 1295533834ActiveOrganization· Internal Medicine, Cardiovascular Disease· Hagerstown, MD
Internal Medicine, Cardiovascular Disease in Hagerstown, Maryland, registered in NPPES in March 2025. The authorized official on file is Joshua Repac, Cfo.
Overview
| NPI | 1295533834 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2025 |
| Last updated in NPPES | Mar 7, 2025 |
| Certified by provider | Mar 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
| Nuclear Medicine | 207U00000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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