Northeast Renal & Dialysis, A Professional Medical Corporation
NPI 1578989505ActiveOrganization· Internal Medicine, Nephrology· Monroe, LA
Internal Medicine, Nephrology in Monroe, Louisiana, registered in NPPES in March 2014. The authorized official on file is David Earl Pruett, M.D., President/Owner.
Overview
| NPI | 1578989505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2014 |
| Last updated in NPPES | Oct 22, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | MD.204452 | LA |
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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