Blooming Medical Group, PLLC
NPI 1750041497ActiveOrganization· Physician Assistant· Cary, NC
Physician Assistant in Cary, North Carolina, registered in NPPES in December 2021. The authorized official on file is Emily Becker Pevtsov, PA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750041497 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2021 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Dec 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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