Five Star Medical Care PLLC
NPI 1083995468ActiveOrganization· Family Medicine· Monroe, NY
Family Medicine in Monroe, New York, registered in NPPES in August 2011. The authorized official on file is Miryam D. Revoredo, Manager.
Overview
| NPI | 1083995468 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2011 |
| Last updated in NPPES | Aug 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 217042-1 | NY |
| Emergency Medicine | 207P00000X | 217042-1 | NY |
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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