Congenial Healthcare, LLC
NPI 1790241735ActiveOrganization· Internal Medicine· Peabody, MA
Internal Medicine in Peabody, Massachusetts, registered in NPPES in February 2019, part of Congenial Healthcare, LLC. The authorized official on file is Lisa Marie Enderle, Provider Enrollment.
Overview
| NPI | 1790241735 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Congenial Healthcare, LLC |
| NPI issued | Feb 14, 2019 |
| Last updated in NPPES | Feb 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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