SourceCheck
Health

NPI profile

COMPLEMENTARY SUPPORT SERVICES

NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.

NPI record foundexcludedNPI API source

Identity

NPI
1174537823
Entity type
NPI-2
Primary taxonomy
251V00000X
NPI source updated
Aug 22, 2020
Enumeration date
Jul 28, 2006
Cache fetched
May 05, 2026

NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.

OIG LEIE screening

excludedConfidence: high

Exact OIG exclusion match by NPI.

CSS METRO, LLCExact OIG exclusion match by NPI.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILINGN/A
LOCATION9528951730
Screen a CSVNPI and OIG data notes

FAQ

Practical notes

Does an NPI record validate licensure?

No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.