Sports Medicine North Orthopaedic Surgery, Inc.
NPI 1376077552ActiveOrganization· Specialist· Beverly, MA
Specialist in Beverly, Massachusetts, registered in NPPES in April 2017. The authorized official on file is Jeffrey Polansky, M.D., President. Enrolled in Medicare as dme supplier - physician - general practice.
Overview
| NPI | 1376077552 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2017 |
| Last updated in NPPES | Nov 13, 2025 |
| Certified by provider | Nov 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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 DME Supplier - Physician - General Practice (MA) |
|---|
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