Private Diagnostic Clinic, PLLC
NPI 1497771992ActiveOrganization· Internal Medicine, Pulmonary Disease· Raleigh, NC
Internal Medicine, Pulmonary Disease in Raleigh, North Carolina, registered in NPPES in July 2006. The authorized official on file is Christopher Thomas Frederick, Cfo.
Overview
| NPI | 1497771992 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2006 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | — | — |
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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