Phs Medical Specialists Pmb107
NPI 1457693012ActiveOrganization· Internal Medicine, Infectious Disease· Washington, DC
Internal Medicine, Infectious Disease in Washington, District of Columbia, registered in NPPES in March 2013, part of Providence Hospital. The authorized official on file is Charles F. Haberkern, Vp.
Overview
| NPI | 1457693012 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Providence Hospital |
| NPI issued | Mar 21, 2013 |
| Last updated in NPPES | Sep 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | HFD01-0212 | DC |
| General Acute Care Hospital | 282N00000X | HFD01-0212 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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