HEATHROW INTERNAL MEDICINE LLC
NPI 1033387865
Family Medicine in Lake Mary, FL
About Heathrow Internal Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHROW INTERNAL MEDICINE LLC (NPI 1033387865) is a healthcare organization registered as a family medicine in Lake Mary, Florida and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Tedrick Johnson, Group Vp Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heathrow Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Heathrow Internal Medicine LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
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 10D0705869
Heathrow Internal Medicine LLC - Hca Florida Lake Mary Primary Care · Lake Mary, FLFrequently 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 Heathrow Internal Medicine LLC's NPI number?
The NPI number for Heathrow Internal Medicine LLC is 1033387865. It was assigned to this organization in the NPPES registry on February 14, 2008.
Where is Heathrow Internal Medicine LLC located?
Heathrow Internal Medicine LLC is located at 4106 W Lake Mary Blvd Suite 100, Lake Mary, FL 32746. The listed phone number is (407) 333-2273.
What is Heathrow Internal Medicine LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Heathrow Internal Medicine LLC enrolled in Medicare?
Yes. Heathrow Internal Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heathrow Internal Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Heathrow Internal Medicine LLC. 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 Family Practice (7), Internal Medicine (4) and Nurse Practitioner (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Heathrow Internal Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0705869) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Heathrow Internal Medicine LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Heathrow Internal Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Heathrow Internal Medicine LLC was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Heathrow Internal Medicine Llc · NPI 1033387865
Family Medicine organization in Lake Mary, Florida. Organization record, active in the CMS NPPES registry since February 14, 2008.
## Identity
- **NPI:** 1033387865 (Entity type: Organization)
- **Enumerated:** February 14, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Tedrick Johnson, GROUP VP OPERATIONS
## Practice location
- **Address:** 4106 W LAKE MARY BLVD, SUITE 100, Lake Mary, FL 32746-3315
- **Phone:** (407) 333-2273 · **Fax:** (407) 333-3939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Internal Medicine (4), Nurse Practitioner (1); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2014
- **Other identifiers:** Other PTAN DN9084 (FL); Other AM199 (FL); Medicaid 307909100 (FL); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033387865) · Data from the CMS NPPES public registry.