Ingerlisa Mattoch MD Inc
NPI 1467190736ActiveOrganization· Pathology, Dermatopathology· Loveland, CO
Pathology, Dermatopathology in Loveland, Colorado, registered in NPPES in May 2022. The authorized official on file is Ingerlisa Mattoch, MD, Authorized Representative. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467190736 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2022 |
| Last updated in NPPES | Jun 14, 2022 |
| Certified by provider | Jun 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Dermatopathology Primary | 207ZD0900X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
| Pathology, Anatomic Pathology | 207ZP0101X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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