Midwest Internal Medicine PLLC
NPI 1619019049ActiveOrganization· Internal Medicine· Lake Havasu City, AZ
Internal Medicine in Lake Havasu City, Arizona, registered in NPPES in February 2007. The authorized official on file is Katrina A. Ong-Veloso, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619019049 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2007 |
| Last updated in NPPES | Mar 7, 2025 |
| Certified by provider | Mar 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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 (AZ) |
|---|
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