Alzheimer's Memory Center
NPI 1457530057ActiveOrganization· Contractor· Matthews, NC
Contractor in Matthews, North Carolina, registered in NPPES in October 2007. The authorized official on file is Mohammad R. Bolouri, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457530057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2007 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Aug 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | 200400301 | NC |
| Clinic/Center | 261Q00000X | — | — |
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 (NC) |
|---|
Other Contractor providers in Matthews
- 1437567534