Healthdrive Podiatry Group, PC
NPI 1679504427ActiveOrganization· Podiatrist· Brookfield, WI
Podiatrist in Brookfield, Wisconsin, registered in NPPES in July 2006. The authorized official on file is Shadi Adib Abboud, DPM, Treasurer/Practice Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679504427 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Apr 16, 2020 |
| Certified by provider | Apr 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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