Impact Physician Group Massachusetts PLLC
NPI 1295533206ActiveOrganization· Internal Medicine· Holyoke, MA
Internal Medicine in Holyoke, Massachusetts, registered in NPPES in March 2025. The authorized official on file is Paul Miller, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295533206 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2025 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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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