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NPISignal

Individual Healthcare Provider

Pritty Madhu Dwivedy, DO

NPI Record: ActiveFamily Medicine
NPI1144915653
San Mateo, California

Provider's NPPES record last updated: March 30, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1144915653
Primary Specialty
Family Medicine
Practice Location
San Mateo, California
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:49 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Family Medicine (California)
A25271
Family Medicine (Virginia)
0102209215
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1100 Park Pl Ste 100

San Mateo, California 94403-7119

Phone: (415) 502-8950

Additional Practice Location

10510 Jefferson Ave Ste A

Newport News, Virginia 23601-3102

Phone: (757) 594-3800

Fax: (757) 591-9021

Additional Practice Location

611 Denbigh Blvd

Newport News, Virginia 23608-4415

Phone: (757) 283-8300

Record Information

Enumeration Date
April 10, 2023
Provider's NPPES Record Last Updated
March 30, 2026
Certification Date
March 30, 2026
NPISignal NPPES Dataset
August 2026

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