NPI 1871552042
NPI 1871552042DeactivatedUnknown
This NPI was deactivated on May 8, 2025. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in May 2025. Provider. Mostly services rather than prescriptions: Medicare paid $98,283 for 145 patients in 2024, with only 43 Part D claims.
Overview
| NPI | 1871552042 |
|---|---|
| Status | Deactivated May 8, 2025 |
| Entity type | Unknown |
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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 145 |
|---|---|
| Services billed | 1,158 across 32 procedure codes |
| Paid by Medicare | $98,283 |
Part D prescriptions in 2024
| Prescriptions (claims) | 43 · 45 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $1,424 |
| Generic share | 98% of claims |