NPI 1649699638
NPI 1649699638DeactivatedUnknown
This NPI was deactivated on Apr 23, 2026. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in April 2026. Provider. 317 Medicare patients in 2024, $192,657 paid; all of their 176 Part D prescriptions were generic.
Overview
| NPI | 1649699638 |
|---|---|
| Status | Deactivated Apr 23, 2026 |
| Entity type | Unknown |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 317 |
|---|---|
| Services billed | 818 across 73 procedure codes |
| Paid by Medicare | $192,657 |
Part D prescriptions in 2024
| Prescriptions (claims) | 176 · 179 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $1,373 |
| Generic share | 100% of claims |