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EVERGREEN MEDICAL CARE PLLC
NPI 1952117343
Family Medicine in Smithtown, NY

Active since December 10, 2024
738 SMITHTOWN BYP STE 204, SMITHTOWN, NY 11787(631) 413-4765(516) 977-3448 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2025, Dec 10, 2024 (2 updates tracked since 2024).

About Evergreen Medical Care Pllc NPPES

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

EVERGREEN MEDICAL CARE PLLC (NPI 1952117343) is a healthcare organization registered as a family medicine in Smithtown, New York and active in the NPI registry since December 2024. The organization lists Tina Malek, Manager, as its authorized official.

NPPES Registry Identity

NPI1952117343
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERGREEN MEDICAL CARE PLLC
Location Address738 SMITHTOWN BYP STE 204Smithtown, NY 11787-5024
Mailing Address738 Smithtown Byp Ste 204Smithtown, NY 11787-5024 · (631) 413-4765 · Fax (516) 977-3448
Phone(631) 413-4765
Fax(516) 977-3448
Organization SubpartNo
Authorized OfficialTina MalekManager · (631) 413-4765
Enumeration DateDecember 10, 2024
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1952117343 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.
738 SMITHTOWN BYP STE 204, Smithtown, NY 11787
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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)

Evergreen Medical Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Evergreen Medical Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Chaudhry Sarwar, MD
Cardiovascular Disease (Cardiology)
NPI 1568651305
HSC T16 020 T16-020 Z8160
Stony Brook, NY 11794
(631) 444-8478
✔ PECOS✔ Accepts Medicare4.7 mi
Rashid Ahmed, MD
General Practice
NPI 1861222820
2015 GRAND CONCOURSE
Bronx, NY 10453
(718) 583-7736
✔ PECOS✔ Accepts Medicare39 mi
Inamulhaque Saboor, M.D.
Internal Medicine
NPI 1891867859
486 MCDONALD AVE
Brooklyn, NY 11218
(718) 247-7226
✔ PECOS✔ Accepts Medicare45 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 Evergreen Medical Care PLLC's NPI number?

The NPI number for Evergreen Medical Care PLLC is 1952117343. It was assigned to this organization in the NPPES registry on December 10, 2024.

Where is Evergreen Medical Care PLLC located?

Evergreen Medical Care PLLC is located at 738 Smithtown Byp Ste 204, Smithtown, NY 11787. The listed phone number is (631) 413-4765.

What is Evergreen Medical Care PLLC's specialty?

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

Is Evergreen Medical Care PLLC enrolled in Medicare?

Yes. Evergreen Medical Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Medical Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Evergreen Medical Care PLLC, in Cardiovascular Disease (Cardiology), General Practice and Internal Medicine. 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 Evergreen Medical Care PLLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.