Texas Modern Gastroenterology
NPI 1902494743ActiveOrganization· Internal Medicine, Gastroenterology· Sulphur Springs, TX
Internal Medicine, Gastroenterology in Sulphur Springs, Texas, registered in NPPES in January 2021. The authorized official on file is Vivian Sami Ebrahim, MD, Physician Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902494743 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2021 |
| Last updated in NPPES | Jan 23, 2024 |
| Certified by provider | Jan 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
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 (TX) |
|---|
Other Internal Medicine, Gastroenterology providers in Sulphur Springs
- 1619299450
- 1073870440
- 1912265968
All Internal Medicine, Gastroenterology providers in Texas →