Individual
JORGE MEDINA
Active
Individual
JORGE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061849A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000722508
ANTHEM TRADITIONAL
IN
05
—
200825470
—
IN
Enumeration date
06/01/2006
Last updated
10/11/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up