Lake Mi Mobile Doctors P.C.
NPI 1710279666ActiveOrganization· Internal Medicine, Geriatric Medicine· Kansas City, MO
Internal Medicine, Geriatric Medicine in Kansas City, Missouri, registered in NPPES in May 2011. The authorized official on file is Tysyn Contreras, Director Of Quality Assurance.
Overview
| NPI | 1710279666 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2011 |
| Last updated in NPPES | Oct 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Podiatrist | 213E00000X | — | — |
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 |
|---|
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