Primary Care Group 12, Inc.,
NPI 1881903532ActiveOrganization· Family Medicine· Charleroi, PA
Family Medicine in Charleroi, Pennsylvania, registered in NPPES in September 2010, part of Jefferson Regional Medical Center. The authorized official on file is Umberto A. Derienzo, M.D., President.
Overview
| NPI | 1881903532 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Jefferson Regional Medical Center |
| NPI issued | Sep 29, 2010 |
| Last updated in NPPES | Mar 21, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD053835L | PA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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