NPI 1619932084
NPI 1619932084DeactivatedUnknown
This NPI was deactivated on Jun 11, 2026. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in June 2026. Provider. Their prescriptions cost Medicare Part D more than their services did: $114,533 for 377 claims, against $24,621 paid for services in 2024.
Overview
| NPI | 1619932084 |
|---|---|
| Status | Deactivated Jun 11, 2026 |
| Entity type | Unknown |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 220 across 9 procedure codes |
| Paid by Medicare | $24,621 |
Part D prescriptions in 2024
| Prescriptions (claims) | 377 · 378 30-day fills |
|---|---|
| Patients | 81 |
| Total drug cost | $114,533 |
| Generic share | 79% of claims |