Richard M. Kootman M.D.,p.C.
NPI 1467634477ActiveOrganization· Specialist· Peoria, AZ
Specialist in Peoria, Arizona, registered in NPPES in November 2007. The authorized official on file is Richard M. Kootman, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467634477 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2007 |
| Last updated in NPPES | Jul 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 19610 | AZ |
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 (AZ) |
|---|
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