GREAT HEALTH MEDICAL IOWA PC
NPI 1750264156
Family Medicine in Brooklyn, NY

Active since July 31, 2025
407 WILLOUGHBY AVE, BROOKLYN, NY 11205(212) 201-1252 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2025, Dec 3, 2025 (2 updates tracked since 2025).

About Great Health Medical Iowa Pc NPPES

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

GREAT HEALTH MEDICAL IOWA PC (NPI 1750264156) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since July 2025. The organization lists Azlan Tariq, Owner, as its authorized official.

NPPES Registry Identity

NPI1750264156
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREAT HEALTH MEDICAL IOWA PC
Location Address407 WILLOUGHBY AVEBrooklyn, NY 11205-4590
Mailing Address407 Willoughby AveBrooklyn, NY 11205-4590
Organization SubpartNo
Authorized OfficialAzlan TariqOwner · (212) 734-6621
Enumeration DateJuly 31, 2025
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1750264156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
407 WILLOUGHBY AVE, Brooklyn, NY 11205

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)

Great Health Medical Iowa Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Great Health Medical Iowa PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Physical Medicine and Rehabilitation
NPI 1528291283
7850 W COLLEGE DR
Palos Heights, IL 60463
(872) 231-3162
✔ PECOS✔ Accepts Medicare725 mi
Nurse Practitioner
NPI 1932717410
W267S7535 OLYMPIA CT N
Waukesha, WI 53189
(414) 315-6607
✔ PECOS✔ Accepts Medicare754 mi
Nurse Practitioner
NPI 1639052418
2001 FAITH ST
Urbana, IA 52345
(319) 450-6276
✔ PECOS✔ Accepts Medicare935 mi
Nurse Practitioner
NPI 1770020125
309 JEFFERSON ST
Dysart, IA 52224
(319) 476-9355
✔ PECOS✔ Accepts Medicare957 mi
Nurse Practitioner
NPI 1548869803
411 LAUREL ST STE A300
Des Moines, IA 50314
(515) 282-2921
✔ PECOS✔ Accepts Medicare1,026 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 Great Health Medical Iowa PC's NPI number?

The NPI number for Great Health Medical Iowa PC is 1750264156. It was assigned to this organization in the NPPES registry on July 31, 2025.

Where is Great Health Medical Iowa PC located?

Great Health Medical Iowa PC is located at 407 Willoughby Ave, Brooklyn, NY 11205. The listed phone number is (212) 201-1252.

What is Great Health Medical Iowa PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Great Health Medical Iowa PC enrolled in Medicare?

Yes. Great Health Medical Iowa PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Health Medical Iowa PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Health Medical Iowa PC. 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. The largest specialties are Nurse Practitioner (4) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great Health Medical Iowa PC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.