A3 Medical
NPI 1366798373ActiveOrganization· Internal Medicine· Bloomfield, MI
Internal Medicine in Bloomfield, Michigan, registered in NPPES in July 2012. The authorized official on file is Supak Sookkasikon, MD, Not Applicable. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366798373 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2012 |
| Last updated in NPPES | Oct 14, 2022 |
| Certified by provider | Oct 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 4301080609 | MI |
| Family Medicine | 207Q00000X | 4301083253 | MI |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
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 (MI) |
|---|
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