Proactive Healthcare
NPI 1891058384ActiveOrganization· General Practice· Saint Paul, MN
General Practice in Saint Paul, Minnesota, registered in NPPES in June 2012. The authorized official on file is Nathan Burdash, C.E.O. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891058384 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2012 |
| Last updated in NPPES | Sep 27, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 41988 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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