US Navy
NPI 1750631685ActiveOrganization· Exclusive Provider Organization· Groton, CT
Exclusive Provider Organization in Groton, Connecticut, registered in NPPES in September 2012. The authorized official on file is Ismael Arturo Lopez, SUB IDC, Sub Idc.
Overview
| NPI | 1750631685 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2012 |
| Last updated in NPPES | Sep 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
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 |
|---|