Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

NPI 1497773998

Individual provider · NPI 1497773998 Deactivated

This NPI was deactivated on September 17, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1497773998 practises Internal Medicine. Graduated from Medical College of Ohio in 2001, 25 years ago. Accepts Medicare assignment.

Years since qualifying
25
Trained at
Medical College of Ohio

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

Specialties & licences

Record details

NPI number1497773998
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients11
Services billed 55 a service is one billed item, such as a visit, a test or a procedure
Average patient age57

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.