Mdlive Medical Group Tx PLLC
NPI 1003523424ActiveOrganization· Dermatology· Bloomfield, CT
Dermatology in Bloomfield, Connecticut, registered in NPPES in November 2022, part of Mdlive Medical Group Tx PLLC. The authorized official on file is Sue-Ann Adrians, Gp Pm.
Overview
| NPI | 1003523424 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mdlive Medical Group Tx PLLC |
| NPI issued | Nov 4, 2022 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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