PRIVATE PHYSICIANS MEDICAL ASSOCIATES
NPI 1043428188
Internal Medicine - Pulmonary Disease in Newport Beach, CA
About Private Physicians Medical Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIVATE PHYSICIANS MEDICAL ASSOCIATES (NPI 1043428188) is a healthcare organization registered as a pulmonary disease in Newport Beach, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Vanmeter Richard Lawrence, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Private Physicians Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Private Physicians Medical Associates, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 05D2330990
Private Physicians Medical Assoicates · Newport Beach, CAFrequently 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 Private Physicians Medical Associates's NPI number?
The NPI number for Private Physicians Medical Associates is 1043428188. It was assigned to this organization in the NPPES registry on May 21, 2007.
Where is Private Physicians Medical Associates located?
Private Physicians Medical Associates is located at 520 Superior Ave Suite 285, Newport Beach, CA 92663. The listed phone number is (949) 566-8179.
What is Private Physicians Medical Associates's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Private Physicians Medical Associates enrolled in Medicare?
Yes. Private Physicians Medical Associates is registered in the Medicare PECOS enrollment system.
When is Private Physicians Medical Associates'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 (California, Clinic/Group Practice) is due for revalidation by January 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 Private Physicians Medical Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Private Physicians Medical Associates. 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 Internal Medicine (3) and Hospitalist (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Private Physicians Medical Associates hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2330990) is associated with this NPI, valid through September 23, 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 Private Physicians Medical Associates was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Private Physicians Medical Associates · NPI 1043428188
Pulmonary Disease organization in Newport Beach, California. Organization record, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1043428188 (Entity type: Organization)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Vanmeter Lawrence, OWNER
## Practice location
- **Address:** 520 SUPERIOR AVE, SUITE 285, Newport Beach, CA 92663-3637
- **Phone:** (949) 566-8179 · **Fax:** (888) 565-6545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Hospitalist (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2011
- **Other identifiers:** Medicare ID-Type Unspecified W16172 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043428188) · Data from the CMS NPPES public registry.