BEVERLY INTERNAL MEDICINE MEDICAL GROUP INC.
NPI 1568642197
Internal Medicine in Montebello, CA

Active since November 12, 2007
2614 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 728-0653 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beverly Internal Medicine Medical Group Inc. NPPES

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

BEVERLY INTERNAL MEDICINE MEDICAL GROUP INC. (NPI 1568642197) is a healthcare organization registered as an internal medicine in Montebello, California and active in the NPI registry since November 2007. The organization lists Soumitra Sarkar, President, as its authorized official.

NPPES Registry Identity

NPI1568642197
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEVERLY INTERNAL MEDICINE MEDICAL GROUP INC.
Location Address2614 W BEVERLY BLVDMontebello, CA 90640-2310
Mailing Address2614 W Beverly BlvdMontebello, CA 90640-2310 · (323) 728-0653
Organization SubpartNo
Authorized OfficialSoumitra SarkarPresident · (323) 728-0653
Enumeration DateNovember 12, 2007
Last NPPES UpdateFebruary 21, 2014
✔ NPI 1568642197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A53499
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.
2614 W BEVERLY BLVD, Montebello, CA 90640

Other Identifiers 3

Medicare PINW14936CA
Medicaid00A534990CA
Other110208996CA · Railroad Medicare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beverly Internal Medicine Medical Group Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1578573010
2614 W BEVERLY BLVD
Montebello, CA 90640
(323) 728-0653
✔ PECOS✔ Accepts MedicareSame address

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 Beverly Internal Medicine Medical Group Inc.'s NPI number?

The NPI number for Beverly Internal Medicine Medical Group Inc. is 1568642197. It was assigned to this organization in the NPPES registry on November 12, 2007.

Where is Beverly Internal Medicine Medical Group Inc. located?

Beverly Internal Medicine Medical Group Inc. is located at 2614 W Beverly Blvd, Montebello, CA 90640. The listed phone number is (323) 728-0653.

What is Beverly Internal Medicine Medical Group Inc.'s specialty?

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

Is Beverly Internal Medicine Medical Group Inc. enrolled in Medicare?

Yes. Beverly Internal Medicine Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beverly Internal Medicine Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Beverly Internal Medicine Medical Group Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beverly Internal Medicine Medical Group Inc. was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.