IMEDICAL365 INC
NPI 1760074256
Clinic/Center - Primary Care in Avon, MA

Active since February 07, 2021

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2021, Feb 17, 2021, Feb 7, 2021 (3 updates tracked since 2021).

About Imedical365 Inc NPPES

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

IMEDICAL365 INC (NPI 1760074256) is a healthcare organization registered as a primary care in Avon, Massachusetts and active in the NPI registry since February 2021. The organization lists Joel Clerville, President, as its authorized official.

NPPES Registry Identity

NPI1760074256
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIMEDICAL365 INC
Location Address249 W MAIN STAvon, MA 02322-1330
Mailing AddressPo Box 1911Brockton, MA 02303-1911 · (508) 326-0496
Organization SubpartNo
Authorized OfficialJoel ClervillePresident · (508) 326-0496
Enumeration DateFebruary 7, 2021
Last NPPES UpdateMarch 17, 20213 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
✔ NPI 1760074256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
249 W MAIN ST, Avon, MA 02322

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imedical365 Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Imedical365 Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1437702719
599 PLEASANT ST
Brockton, MA 02301
(508) 894-1126
✔ PECOS2.8 mi
Internal Medicine
NPI 1972661064
309 DRIFTWAY
Scituate, MA 02066
(781) 545-1370
✔ PECOS✔ Accepts Medicare16 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 Imedical365 Inc's NPI number?

The NPI number for Imedical365 Inc is 1760074256. It was assigned to this organization in the NPPES registry on February 7, 2021.

Where is Imedical365 Inc located?

Imedical365 Inc is located at 249 W Main St, Avon, MA 02322. The listed phone number is (508) 326-0493.

What is Imedical365 Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Imedical365 Inc enrolled in Medicare?

Yes. Imedical365 Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imedical365 Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Imedical365 Inc, in Internal Medicine and Nurse Practitioner. 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, 1 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 Imedical365 Inc was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.