Impact Physician Group, Louisiana LLC
NPI 1437775459ActiveOrganization· Internal Medicine· Lake Charles, LA
Internal Medicine in Lake Charles, Louisiana, registered in NPPES in June 2020. The authorized official on file is Paul Miller, Credentialing Coordinator.
Overview
| NPI | 1437775459 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2020 |
| Last updated in NPPES | Jun 25, 2020 |
| Certified by provider | Jun 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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