Integrated Medical Diagnostic Services, P.C.
NPI 1740527993ActiveOrganization· Internal Medicine, Cardiovascular Disease· Commack, NY
Internal Medicine, Cardiovascular Disease in Commack, New York, registered in NPPES in January 2013. The authorized official on file is Michelle Clancy, Executive Administrator.
Overview
| NPI | 1740527993 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2013 |
| Last updated in NPPES | Aug 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 180648-1 | NY |
| Radiology, Neuroradiology | 2085N0700X | — | — |
| Radiology, Neuroradiology, Nuclear Radiology | 2085N0904X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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