Grand Traverse Internists, PC
NPI 1578559365ActiveOrganization· Internal Medicine· Traverse City, MI
Internal Medicine in Traverse City, Michigan, registered in NPPES in September 2005. The authorized official on file is Robert Leon Pacer, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578559365 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2005 |
| Last updated in NPPES | Feb 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 4301047167 | MI |
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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