Primary Care Physician North PC
NPI 1902363294ActiveOrganization· Internal Medicine· Peabody, MA
Internal Medicine in Peabody, Massachusetts, registered in NPPES in February 2019. The authorized official on file is Yan Sun, DMD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902363294 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2019 |
| Last updated in NPPES | Apr 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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 (MA) |
|---|
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