Prestige Medical Group LLC
NPI 1528440781ActiveOrganization· Specialist· Lakewood Ranch, FL
Specialist in Lakewood Ranch, Florida, registered in NPPES in June 2015. The authorized official on file is Timothy Jay, Owner.
Overview
| NPI | 1528440781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2015 |
| Last updated in NPPES | Jul 19, 2023 |
| Certified by provider | Jun 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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