Rogue Valley Childrens Physicians
NPI 1558863902ActiveOrganization· Pediatrics· Medford, OR
Pediatrics in Medford, Oregon, registered in NPPES in March 2018. The authorized official on file is Jeri L. Sullivan, Office Manager. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1558863902 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2018 |
| Last updated in NPPES | Mar 1, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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 - Mass Immunization (Roster Biller Only) (OR) |
|---|
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