Phoenix Rising Medical, PC
NPI 1649470790ActiveOrganization· Internal Medicine, Pulmonary Disease· Williamsville, NY
Internal Medicine, Pulmonary Disease in Williamsville, New York, registered in NPPES in July 2007. The authorized official on file is Tajuddin M. Jiva, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649470790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2007 |
| Last updated in NPPES | Feb 6, 2025 |
| Certified by provider | Feb 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 183042 | NY |
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 (NY) |
|---|
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