Lifestyle Medical and Cardiovascular Associates PC
NPI 1396356556ActiveOrganization· Internal Medicine, Cardiovascular Disease· Chestnut Hill, MA
Internal Medicine, Cardiovascular Disease in Chestnut Hill, Massachusetts, registered in NPPES in August 2020. The authorized official on file is Kimberly Parks, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396356556 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2020 |
| Last updated in NPPES | Aug 12, 2020 |
| Certified by provider | Aug 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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