Executive Health PC
NPI 1528445632ActiveOrganization· Internal Medicine· Dearborn, MI
Internal Medicine in Dearborn, Michigan, registered in NPPES in April 2015. The authorized official on file is Massud Almassudi, MD, Presedent. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528445632 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2015 |
| Last updated in NPPES | Sep 21, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Rheumatology | 207RR0500X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
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 B Supplier - Clinic/Group Practice (MI) |
|---|
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