Ridge Manor Family Clinic Inc
NPI 1730577115ActiveOrganization· General Practice· Brooksville, FL
General Practice in Brooksville, Florida, registered in NPPES in January 2015. The authorized official on file is Gopal R. Korupolu, M.D., Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730577115 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2015 |
| Last updated in NPPES | Feb 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ME0070951 | FL |
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 (FL) |
|---|
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