SOUTHAMPTON URGENT MEDICAL CARE P C
NPI 1003020017
Specialist in Southampton, NY
About Southampton Urgent Medical Care P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHAMPTON URGENT MEDICAL CARE P C (NPI 1003020017) is a healthcare organization registered as a specialist in Southampton, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Mark R Kot, Owner Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southampton Urgent Medical Care P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southampton Urgent Medical Care P C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D1011892
Southampton Urgent Medical Care PC · Southampton, NYFrequently 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 Southampton Urgent Medical Care P C's NPI number?
The NPI number for Southampton Urgent Medical Care P C is 1003020017. It was assigned to this organization in the NPPES registry on May 9, 2007.
Where is Southampton Urgent Medical Care P C located?
Southampton Urgent Medical Care P C is located at 609 Hampton Rd, Southampton, NY 11968. The listed phone number is (631) 204-9600.
What is Southampton Urgent Medical Care P C's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Southampton Urgent Medical Care P C enrolled in Medicare?
Yes. Southampton Urgent Medical Care P C is registered in the Medicare PECOS enrollment system.
When is Southampton Urgent Medical Care P C's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southampton Urgent Medical Care P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Southampton Urgent Medical Care P C. 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.
Does Southampton Urgent Medical Care P C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1011892) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southampton Urgent Medical Care P C was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Southampton Urgent Medical Care P C · NPI 1003020017
Specialist organization in Southampton, New York. Organization record, active in the CMS NPPES registry since May 9, 2007.
## Identity
- **NPI:** 1003020017 (Entity type: Organization)
- **Enumerated:** May 9, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mark Kot, OWNER MD
## Practice location
- **Address:** 609 HAMPTON RD, Southampton, NY 11968-3051
- **Phone:** (631) 204-9600 · **Fax:** (631) 204-9606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2013
- **Other identifiers:** Medicare UPIN F65613 (NY); Medicare ID-Type Unspecified WEM721 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003020017) · Data from the CMS NPPES public registry.