Mdlive Medical Group Tx PLLC
NPI 1649987066ActiveOrganization· Family Medicine· Bloomfield, CT
Family Medicine in Bloomfield, Connecticut, registered in NPPES in November 2022, part of Mdlive Medical Group Tx PLLC. The authorized official on file is Sue-Ann Adrians, Gp Pm.
Overview
| NPI | 1649987066 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mdlive Medical Group Tx PLLC |
| NPI issued | Nov 4, 2022 |
| Last updated in NPPES | Apr 10, 2026 |
| Certified by provider | Apr 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
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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