Geriatric Multispecialty Associates
NPI 1316515372ActiveOrganization· Internal Medicine· Waldorf, MD
Internal Medicine in Waldorf, Maryland, registered in NPPES in June 2021. The authorized official on file is Philip Wisotsky, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316515372 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2021 |
| Last updated in NPPES | Nov 22, 2021 |
| Certified by provider | Nov 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
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 (MD) |
|---|
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