Innovative Medical Care PLLC
NPI 1063720910ActiveOrganization· Family Medicine· Deer Park, NY
Family Medicine in Deer Park, New York, registered in NPPES in September 2010. The authorized official on file is Behrouz Farahmandpour, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063720910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2010 |
| Last updated in NPPES | Mar 30, 2025 |
| Certified by provider | Mar 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 233446 | NY |
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 (NY) |
|---|
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