Lifetree Pediatrics PLLC
NPI 1790519452ActiveOrganization· Pediatrics· Frisco, TX
Pediatrics in Frisco, Texas, registered in NPPES in August 2024. The authorized official on file is Anbu Durai Muthusamy, MD, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790519452 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2024 |
| Last updated in NPPES | Aug 27, 2024 |
| Certified by provider | Aug 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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 (TX) |
|---|
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