I.M.P.A.C.T, Medgroup, Inc
NPI 1427371921ActiveOrganization· Internal Medicine· Bradenton, FL
Internal Medicine in Bradenton, Florida, registered in NPPES in March 2010, part of I.M.P.A.C.T, Medgroup, Inc. The authorized official on file is Vivian Robaina, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427371921 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | I.M.P.A.C.T, Medgroup, Inc |
| NPI issued | Mar 11, 2010 |
| Last updated in NPPES | Oct 19, 2022 |
| Certified by provider | Oct 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
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 (FL) |
|---|
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