Privia Medical Group West Texas, PLLC
NPI 1912149758ActiveOrganization· Podiatrist· Abilene, TX
Podiatrist in Abilene, Texas, registered in NPPES in March 2009. The authorized official on file is Andrew Kouba, Ceo. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1912149758 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2009 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
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) | Enrolled DME Supplier - Physician - Podiatry (TX) |
|---|
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