Center for Primary Care and Rehabilitation, PA
NPI 1780963355ActiveOrganization· Rehabilitation Practitioner· Eagan, MN
Rehabilitation Practitioner in Eagan, Minnesota, registered in NPPES in August 2011. The authorized official on file is Elena Lev Polukhin, MD, PHD, Owner/Medical Director.
Overview
| NPI | 1780963355 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2011 |
| Last updated in NPPES | Aug 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | 45600 | MN |
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 |
|---|