Medical Center LLC
NPI 1508929050ActiveOrganization· Internal Medicine· Blountstown, FL
Internal Medicine in Blountstown, Florida, registered in NPPES in December 2006. The authorized official on file is Iqbal A. Fauqui, MD, Owner President. Enrolled in Medicare as part a provider - rural health clinic and part b supplier - clinic/group practice.
Overview
| NPI | 1508929050 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2006 |
| Last updated in NPPES | Feb 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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