Impact Physician Group, Missouri, LLC
NPI 1962971531ActiveOrganization· Internal Medicine· Bridgeton, MO
Internal Medicine in Bridgeton, Missouri, registered in NPPES in November 2018. The authorized official on file is Paul Miller, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962971531 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2018 |
| Last updated in NPPES | Dec 19, 2022 |
| Certified by provider | Dec 19, 2022 |
Specialties and licenses
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 (MO) |
|---|
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