Northstar Internal Medicine PA
NPI 1992058705ActiveOrganization· Internal Medicine· Grand Prairie, TX
Internal Medicine in Grand Prairie, Texas, registered in NPPES in October 2012. The authorized official on file is Ikechukwu A. Nwabude, MD, President And Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992058705 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2012 |
| Last updated in NPPES | Apr 17, 2024 |
| Certified by provider | Apr 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | N5288 | TX |
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 Part B Supplier - Clinic/Group Practice (TX) |
|---|
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