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NPI 1740090208ActiveOrganization· Internal Medicine, Nephrology· Cheyenne, WY
Internal Medicine, Nephrology in Cheyenne, Wyoming, registered in NPPES in January 2025. The authorized official on file is Zornitza Dimopoulos, Administrative Assistant. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1740090208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2025 |
| Last updated in NPPES | Feb 26, 2026 |
| Certified by provider | Feb 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (WY) |
|---|
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