PROMED PREFERRED PA 5 PROFESSIONAL CORPORATION
NPI 1053200410
Internal Medicine in Brooklyn, NY
About Promed Preferred Pa 5 Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROMED PREFERRED PA 5 PROFESSIONAL CORPORATION (NPI 1053200410) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since July 2025. The organization lists Lev Grinman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Promed Preferred Pa 5 Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Promed Preferred PA 5 Professional Corporation, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
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 Promed Preferred PA 5 Professional Corporation's NPI number?
The NPI number for Promed Preferred PA 5 Professional Corporation is 1053200410. It was assigned to this organization in the NPPES registry on July 1, 2025.
Where is Promed Preferred PA 5 Professional Corporation located?
Promed Preferred PA 5 Professional Corporation is located at 1314 54th St, Brooklyn, NY 11219. The listed phone number is (615) 499-3165.
What is Promed Preferred PA 5 Professional Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Promed Preferred PA 5 Professional Corporation enrolled in Medicare?
Yes. Promed Preferred PA 5 Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Promed Preferred PA 5 Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Promed Preferred PA 5 Professional Corporation. 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.
When was this NPI record last updated?
The NPPES record for Promed Preferred PA 5 Professional Corporation was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Promed Preferred Pa 5 Professional Corporation · NPI 1053200410
Internal Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since July 1, 2025.
## Identity
- **NPI:** 1053200410 (Entity type: Organization)
- **Enumerated:** July 1, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Lev Grinman, PRESIDENT
## Practice location
- **Address:** 1314 54TH ST, Brooklyn, NY 11219-4219
- **Phone:** (615) 499-3165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053200410) · Data from the CMS NPPES public registry.