Ltc Professionals, PLLC
NPI 1417251935ActiveOrganization· Internal Medicine· Bloomington, MN
Internal Medicine in Bloomington, Minnesota, registered in NPPES in December 2010. The authorized official on file is Kurt Larson, President. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1417251935 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 23, 2010 |
| Last updated in NPPES | Jul 25, 2024 |
| Certified by provider | May 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Acupuncturist | 171100000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
| Clinic/Center, Pain | 261QP3300X | — | — |
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 DME Supplier - Physician - General Practice (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
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