Srk MD, LLC
NPI 1578083119ActiveOrganization· Internal Medicine· Waltham, MA
Internal Medicine in Waltham, Massachusetts, registered in NPPES in June 2017, part of Steven R. Kanner, MD, LLC. The authorized official on file is Steven R. Kanner, MD, Owner.
Overview
| NPI | 1578083119 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Steven R. Kanner, MD, LLC |
| NPI issued | Jun 25, 2017 |
| Last updated in NPPES | Jun 25, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 209939 | MA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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