St. Marygrace Family Practice, LLC
NPI 1639301732ActiveOrganization· Family Medicine· Opelousas, LA
Family Medicine in Opelousas, Louisiana, registered in NPPES in August 2009. The authorized official on file is Adenike A. Tinubu, MD, Owner / Operator / Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639301732 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2009 |
| Last updated in NPPES | Mar 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 202981 | LA |
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 (LA) |
|---|
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