Main Street Medical Group, LLC
NPI 1063683662ActiveOrganization· Internal Medicine· Solon, OH
Internal Medicine in Solon, Ohio, registered in NPPES in March 2008. The authorized official on file is Randall Scott Schwartz, M.D., Proprietor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063683662 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2008 |
| Last updated in NPPES | Aug 18, 2023 |
| Certified by provider | Aug 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 35-06-0015 | OH |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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 (OH) |
|---|
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