Great Lakes Medical Associates, PC
NPI 1811094295ActiveOrganization· Internal Medicine· Edmore, MI
Internal Medicine in Edmore, Michigan, registered in NPPES in September 2006. The authorized official on file is Prakash Sarvepalli, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811094295 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Sep 28, 2023 |
| Certified by provider | Sep 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | MI |
| Family Medicine | 207Q00000X | — | MI |
| Physician Assistant | 363A00000X | — | MI |
| Nurse Practitioner | 363L00000X | — | MI |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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