Port Recovery Physicians Care LLC
NPI 1124470356ActiveOrganization· Internal Medicine· Nottingham, MD
Internal Medicine in Nottingham, Maryland, registered in NPPES in July 2016. The authorized official on file is Joanne Granruth, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124470356 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2016 |
| Last updated in NPPES | May 30, 2025 |
| Certified by provider | May 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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