Mdlive Medical Group de PA
NPI 1518605955ActiveOrganization· Dermatology· Bloomfield, CT
Dermatology in Bloomfield, Connecticut, registered in NPPES in May 2022, part of Mdlive Medical Group de PA. The authorized official on file is Sue-Ann Adrians, Government Programs Pm.
Overview
| NPI | 1518605955 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mdlive Medical Group de PA |
| NPI issued | May 25, 2022 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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