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THE MEDICAL CENTER OF BLOUNTSTOWN
NPI 1508929050
Internal Medicine in Blountstown, FL

Active since December 18, 2006
20454 NE FINLEY AVE, BLOUNTSTOWN, FL 32424(850) 674-2221(850) 674-2121 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Medical Center Of Blountstown NPPES

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

THE MEDICAL CENTER OF BLOUNTSTOWN (NPI 1508929050) is a healthcare organization registered as an internal medicine in Blountstown, Florida and active in the NPI registry since December 2006. The organization lists Iqbal A Fauqui, Owner President, as its authorized official.

NPPES Registry Identity

NPI1508929050
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL CENTER LLC
Location Address20454 NE FINLEY AVEBlountstown, FL 32424-6012
Mailing Address20454 Ne Finley AveBlountstown, FL 32424-6012 · (850) 674-2221 · Fax (850) 674-2121
Phone(850) 674-2221
Fax(850) 674-2121
Organization SubpartNo
Authorized OfficialIqbal A FauquiOwner President · (850) 674-2221
Enumeration DateDecember 18, 2006
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1508929050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
20454 NE FINLEY AVE, Blountstown, FL 32424
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Other Names 1

Doing Business AsThe Medical Center Of Blountstown

Other Identifiers 4

Medicaid660205300FL
Medicare PIN108963
Medicare UPINF46463
Medicare OSCAR/certification108963

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Capital Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Medical Center Of Blountstown is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20030604000023Part A · Rural Health ClinicDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISBAH I FAROOQI M.D.
Internal Medicine
20454 NE FINLEY AVE
BLOUNTSTOWN, FL 32424
Calhoun County (850) 674-2221
DR. IQBAL AHMED FARUQUI MD
Internal Medicine
20454 NE FINLEY AVE
BLOUNTSTOWN, FL 32424
Calhoun County (850) 674-2221

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 Medical Center LLC's NPI number?

The NPI number for Medical Center LLC is 1508929050. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as The Medical Center Of Blountstown.

Where is Medical Center LLC located?

Medical Center LLC is located at 20454 NE Finley Ave, Blountstown, FL 32424. The listed phone number is (850) 674-2221.

What is Medical Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Medical Center LLC enrolled in Medicare?

Yes. Medical Center LLC is registered in the Medicare PECOS enrollment system.

When is Medical Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Medical Center LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Capital Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Medical Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical Center LLC was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.