Classic Healthcare Medical Group LLC
NPI 1649691957ActiveOrganization· Internal Medicine· Needham, MA
Internal Medicine in Needham, Massachusetts, registered in NPPES in January 2014. The authorized official on file is Steven Van Dam, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649691957 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2014 |
| Last updated in NPPES | Jan 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 205080 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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