Genesis Physician Associates LLC
NPI 1740569763ActiveOrganization· Internal Medicine· Farmington, NM
Internal Medicine in Farmington, New Mexico, registered in NPPES in August 2011. The authorized official on file is Uche Obisike, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740569763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2011 |
| Last updated in NPPES | Oct 29, 2020 |
| Certified by provider | Oct 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD2006-0141 | NM |
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 (NM) |
|---|
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