Sports Medicine North Orthopaedic Surgery, Inc.
NPI 1760423719ActiveOrganization· Specialist· Peabody, MA
Specialist in Peabody, Massachusetts, registered in NPPES in June 2006. The authorized official on file is Jeffrey A. Polansky, M.D., President. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1760423719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2006 |
| Last updated in NPPES | Oct 17, 2025 |
| Certified by provider | Oct 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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 DME Supplier - Multi-Specialty - Physician (MA); Part B Supplier - Clinic/Group Practice (MA) |
|---|
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