Jeremiah Sisay, Pharmd, MD, PLLC
NPI 1497217145ActiveOrganization· Internal Medicine· Mesquite, TX
Internal Medicine in Mesquite, Texas, registered in NPPES in April 2019. The authorized official on file is Jeremiah Sisay, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497217145 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2019 |
| Last updated in NPPES | Jan 29, 2026 |
| Certified by provider | Jan 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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