Adult Medicine Clinic of Blytheville, P.C.
NPI 1528017761ActiveOrganization· Internal Medicine· Blytheville, AR
Internal Medicine in Blytheville, Arkansas, registered in NPPES in May 2006. The authorized official on file is Shalender Mittal, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528017761 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2006 |
| Last updated in NPPES | Apr 11, 2022 |
| Certified by provider | Apr 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | E2710 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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