Img Medical Group Tx, P.A.
NPI 1619659760ActiveOrganization· Family Medicine, Sports Medicine· Dallas, TX
Family Medicine, Sports Medicine in Dallas, Texas, registered in NPPES in August 2023. The authorized official on file is Abisai Sanchez Rodriguez, Clinical Operations Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619659760 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2023 |
| Last updated in NPPES | Apr 10, 2026 |
| Certified by provider | Apr 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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