Psm1 Management LLC
NPI 1710739719ActiveOrganization· Internal Medicine, Geriatric Medicine· Sugar Land, TX
Internal Medicine, Geriatric Medicine in Sugar Land, Texas, registered in NPPES in April 2024. The authorized official on file is Pawan Pandya, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710739719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2024 |
| Last updated in NPPES | Dec 11, 2024 |
| Certified by provider | Dec 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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