Alpha and Omega Primary Health Care Inc
NPI 1770752495ActiveOrganization· Internal Medicine· Detroit, MI
Internal Medicine in Detroit, Michigan, registered in NPPES in February 2008. The authorized official on file is Rickie Hardaway, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770752495 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2008 |
| Last updated in NPPES | Apr 29, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 4301061729 | MI |
| Pediatrics | 208000000X | 4301061729 | MI |
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 (MI) |
|---|
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