ICM MEDICAL GROUP, INC.
NPI 1467401000
Internal Medicine - Pulmonary Disease in Inglewood, CA

Active since May 10, 2006
211 N PRAIRIE AVE, INGLEWOOD, CA 90301(310) 673-4000(310) 673-4001 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Icm Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICM MEDICAL GROUP, INC. (NPI 1467401000) is a healthcare organization registered as a pulmonary disease in Inglewood, California and active in the NPI registry since May 2006. The organization lists Amanuel Sima, President, as its authorized official.

NPPES Registry Identity

NPI1467401000
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameICM MEDICAL GROUP, INC.
Location Address211 N PRAIRIE AVEInglewood, CA 90301-1412
Mailing AddressPo Box 1698Inglewood, CA 90308-1698 · (310) 673-4000 · Fax (310) 673-4001
Fax(310) 673-4001
Organization SubpartNo
Authorized OfficialAmanuel SimaPresident · (310) 989-1224
Enumeration DateMay 10, 2006
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1467401000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · 2825600
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
211 N PRAIRIE AVE, Inglewood, CA 90301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Icm Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Icm Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Diagnostic Radiology
NPI 1184603128
555 E HARDY ST CENTINELA HOSPITAL MEDICAL CENTER
Inglewood, CA 90301
(310) 673-4660
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1366493744
50 N LA CIENEGA BLVD SUITE 220
Beverly Hills, CA 90211
(310) 855-0556
✔ PECOS✔ Accepts Medicare7.2 mi
Nephrology
NPI 1770994675
1530 CAMDEN AVE APT 205
Los Angeles, CA 90025
(310) 709-9125
✔ PECOS8.2 mi
Diagnostic Radiology
NPI 1316065683
11718 BARRINGTON CT APT 701
Los Angeles, CA 90049
(818) 722-3332
✔ PECOS9.9 mi
Nurse Practitioner
NPI 1235992421
17102 DE GROOT PL
Cerritos, CA 90703
(323) 681-1460
✔ PECOS✔ Accepts Medicare18 mi
Pain Management
NPI 1194017657
7230 MEDICAL CENTER DR
West Hills, CA 91307
(818) 348-7246
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icm Medical Group, Inc.'s NPI number?

The NPI number for Icm Medical Group, Inc. is 1467401000. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Icm Medical Group, Inc. located?

Icm Medical Group, Inc. is located at 211 N Prairie Ave, Inglewood, CA 90301. The listed phone number is (310) 673-4000.

What is Icm Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Icm Medical Group, Inc. enrolled in Medicare?

Yes. Icm Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Icm Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Icm Medical Group, Inc., in Diagnostic Radiology, Internal Medicine, Nephrology, Nurse Practitioner and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Icm Medical Group, Inc. was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.