Phoenix Medical Office PLLC
NPI 1770919466ActiveOrganization· Internal Medicine, Geriatric Medicine· Elmhurst, NY
Internal Medicine, Geriatric Medicine in Elmhurst, New York, registered in NPPES in September 2013. The authorized official on file is Kyawt Thandar Aung, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770919466 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2013 |
| Last updated in NPPES | Aug 19, 2026 |
| Certified by provider | Aug 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | 241558 | NY |
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 (NY) |
|---|
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