Prosperity Medical, PLLC
NPI 1528837218ActiveOrganization· Dermatology· Saint Joseph, MI
Dermatology in Saint Joseph, Michigan, registered in NPPES in December 2023, part of Prosperity Medical, PLLC. The authorized official on file is Riddhi Jay Shah, DO, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528837218 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prosperity Medical, PLLC |
| NPI issued | Dec 22, 2023 |
| Last updated in NPPES | Dec 22, 2023 |
| Certified by provider | Dec 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 (MI) |
|---|
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