Internal Medicine Practice, LLC
NPI 1528387412ActiveOrganization· Internal Medicine· Brazil, IN
Internal Medicine in Brazil, Indiana, registered in NPPES in May 2010. The authorized official on file is Camillo M. Mendoza, MD, Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528387412 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2010 |
| Last updated in NPPES | Jul 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 01049692 | IN |
| Internal Medicine | 207R00000X | 01049698 | IN |
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 (IN) |
|---|
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