NPI 1366465346
NPI 1366465346DeactivatedUnknown
This NPI was deactivated on Sep 3, 2026. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in September 2026. Provider. Mostly services rather than prescriptions: Medicare paid $61,752 for 137 patients in 2024, with only 14 Part D claims.
Overview
| NPI | 1366465346 |
|---|---|
| Status | Deactivated Sep 3, 2026 |
| Entity type | Unknown |
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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 137 |
|---|---|
| Services billed | 287 across 56 procedure codes |
| Paid by Medicare | $61,752 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 14 30-day fills |
|---|---|
| Total drug cost | $94.54 |
| Generic share | 100% of claims |