Idc Medical LLC
NPI 1912468620ActiveOrganization· Internal Medicine, Infectious Disease· Suwanee, GA
Internal Medicine, Infectious Disease in Suwanee, Georgia, registered in NPPES in March 2019. The authorized official on file is John Kyle Stellbauer, Ceo.
Overview
| NPI | 1912468620 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2019 |
| Last updated in NPPES | Sep 9, 2022 |
| Certified by provider | Sep 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | — | — |
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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