Medical Village Healthcare Group
NPI 1487621694ActiveOrganization· Pediatrics· Kissimmee, FL
Pediatrics in Kissimmee, Florida, registered in NPPES in March 2006. The authorized official on file is Khalid Manzur, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487621694 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2006 |
| Last updated in NPPES | Mar 29, 2021 |
| Certified by provider | Mar 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Internal Medicine | 207R00000X | — | — |
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 (FL) |
|---|
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