Private Diagnostic Clinic, PLLC
NPI 1568694552ActiveOrganization· Internal Medicine, Gastroenterology· Raleigh, NC
Internal Medicine, Gastroenterology in Raleigh, North Carolina, registered in NPPES in August 2009. The authorized official on file is Christopher Thomas Frederick, Cfo.
Overview
| NPI | 1568694552 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2009 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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