Pearl Geriatrics and Palliative Medicine, PSC
NPI 1376865972ActiveOrganization· Internal Medicine, Geriatric Medicine· Louisville, KY
Internal Medicine, Geriatric Medicine in Louisville, Kentucky, registered in NPPES in February 2010. The authorized official on file is Osawaru Jude Omoruyi, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376865972 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2010 |
| Last updated in NPPES | Jan 29, 2021 |
| Certified by provider | Jan 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Internal Medicine | 207R00000X | 39870 | KY |
| Nurse Practitioner, Family | 363LF0000X | 3006777 | KY |
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) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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