Innovative Physician Services LLC
NPI 1922096049 · Physical Medicine & Rehabilitation Physician · Springfield, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Physician Services LLC is a Physical Medicine & Rehabilitation Physician organization in Springfield, MA (NPI 1922096049).
Provider details
- NPI number
- 1922096049
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adnan Dahdul, Owner/Ceo/Officer(413) 301-6019
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 512 W Cherry St Ste CKissimmee, FL 34741-4114Phone: (321) 400-5013Fax: (413) 363-9123
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is Innovative Physician Services LLC's NPI number?
- Innovative Physician Services LLC's National Provider Identifier (NPI) is 1922096049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Physician Services LLC?
- Innovative Physician Services LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Physician Services LLC located?
- Innovative Physician Services LLC's practice location on file with NPPES is 490 Page Boulevard, Springfield, MA 01104.
- What is Innovative Physician Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Physician Services LLC is (413) 349-5063.
- Does Innovative Physician Services LLC accept Medicare?
- Innovative Physician Services LLC 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 Innovative Physician Services LLC?
- The authorized official listed on Innovative Physician Services LLC's NPPES record is Adnan Dahdul, Owner/Ceo/Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Physician Services LLC's NPI active?
- Yes — Innovative Physician Services LLC's NPI (1922096049) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.