Doc's Interventional Sports Medicine and Primary Care P.L.L.C.
NPI 1477169076ActiveOrganization· Family Medicine, Sports Medicine· Pearland, TX
Family Medicine, Sports Medicine in Pearland, Texas, registered in NPPES in September 2020. The authorized official on file is Vincent Joseph Mandola, MD, Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477169076 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2020 |
| Last updated in NPPES | Dec 22, 2021 |
| Certified by provider | Dec 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | — | — |
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 (TX) |
|---|
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