Prima Medical Group PLLC
NPI 1801787817ActiveOrganization· General Practice· Stafford, TX
General Practice in Stafford, Texas, registered in NPPES in July 2025. The authorized official on file is Iyabo Omidiwura, Enrollment Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801787817 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2025 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jul 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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