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Innovative Physician Services LLC

Physical Medicine & Rehabilitation Physician in Springfield, MA · enumerated 2005 · authorized official Adnan Dahdul, Owner/Ceo/Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922096049

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Registry record

Entity type Organization (Type 2)
Legal business name Innovative Physician Services LLC
Practice address 490 Page Boulevard, Springfield, MA, 01104
Fax (413) 363-2857
Enumeration date Oct 12, 2005
Last updated in NPPES Aug 6, 2025

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
111N00000X Chiropractor Chiropractic Providers Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Adnan Dahdul
Title Owner/Ceo/Officer

Other identifiers

Identifier Type State Issuer
9721690 Medicaid MA -
110068493C Medicaid MA -
118236600 Medicaid FL -
M18224 Other MA BLUE CROSS
30214102 Medicaid NH -
4D55 Other MA DPH LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Innovative Physician Services LLC?
Innovative Physician Services LLC is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-06.