Private Health Care Group, LLC
NPI 1053680108ActiveOrganization· Internal Medicine· Wellesley, MA
Internal Medicine in Wellesley, Massachusetts, registered in NPPES in December 2011. The authorized official on file is Karen Theo Isselbacher,, M.D, Owner And Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053680108 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2011 |
| Last updated in NPPES | Jan 23, 2024 |
| Certified by provider | Jan 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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