Community Healthcare Alliance, PLLC
NPI 1376040899ActiveOrganization· General Practice· Woburn, MA
General Practice in Woburn, Massachusetts, registered in NPPES in April 2018. The authorized official on file is Theodore Treibick, MD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376040899 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2018 |
| Last updated in NPPES | Apr 10, 2024 |
| Certified by provider | Apr 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Internal Medicine, Addiction Medicine | 207RA0401X | 46320 | MA |
| Clinic/Center, Pain | 261QP3300X | — | — |
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) |
|---|