Alliance Medical Team LLC
NPI 1417792599ActiveOrganization· Internal Medicine· Woodbridge, VA
Internal Medicine in Woodbridge, Virginia, registered in NPPES in June 2024. The authorized official on file is Wesam Moustafa Hussein, Md. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1417792599 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2024 |
| Last updated in NPPES | Dec 20, 2024 |
| Certified by provider | Dec 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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 (DC); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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