Heritage Wellness Clinic LLC
NPI 1619483294ActiveOrganization· Internal Medicine· Saint Peters, MO
Internal Medicine in Saint Peters, Missouri, registered in NPPES in December 2017. The authorized official on file is Malik Karim, Cred. Spec. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619483294 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2017 |
| Last updated in NPPES | Nov 4, 2026 |
| Certified by provider | Nov 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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