Mazen Madhoun MD LLC
NPI 1679904338ActiveOrganization· Family Medicine· Roanoke, VA
Family Medicine in Roanoke, Virginia, registered in NPPES in December 2013. The authorized official on file is Mazen Madhoun, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679904338 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2013 |
| Last updated in NPPES | Mar 6, 2023 |
| Certified by provider | Mar 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0101247995 | VA |
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 (VA) |
|---|
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