Excelsior Integrated Medical Group, PLLC
NPI 1689009854 · Specialist · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Excelsior Integrated Medical Group, PLLC is a Specialist organization in New York, NY (NPI 1689009854).
Provider details
- NPI number
- 1689009854
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- George Hall, President(212) 335-0328
- License
- 203601 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-06
- Last updated
- 2016-02-03
Frequently asked questions
- What is Excelsior Integrated Medical Group, PLLC's NPI number?
- Excelsior Integrated Medical Group, PLLC's National Provider Identifier (NPI) is 1689009854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Excelsior Integrated Medical Group, PLLC?
- Excelsior Integrated Medical Group, PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Excelsior Integrated Medical Group, PLLC located?
- Excelsior Integrated Medical Group, PLLC's practice location on file with NPPES is 217 Grand St, New York, NY 10013-4396.
- What is Excelsior Integrated Medical Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Excelsior Integrated Medical Group, PLLC is (212) 390-1830.
- Does Excelsior Integrated Medical Group, PLLC accept Medicare?
- Excelsior Integrated Medical Group, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Excelsior Integrated Medical Group, PLLC?
- The authorized official listed on Excelsior Integrated Medical Group, PLLC's NPPES record is George Hall, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Excelsior Integrated Medical Group, PLLC's NPI active?
- Yes — Excelsior Integrated Medical Group, PLLC's NPI (1689009854) is active in the NPPES registry as of the last update on 2016-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.