CENTRAL PA PRIMARY CARELLC
NPI 1053279661
Physician Assistant - Medical in Altoona, PA
About Central Pa Primary Carellc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL PA PRIMARY CARELLC (NPI 1053279661) is a healthcare organization registered as a medical in Altoona, Pennsylvania and active in the NPI registry since January 2026. The organization maintains a secondary practice location in Patton and lists Ziad Khoury, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Central Pa Primary Carellc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Central PA Primary Carellc, 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.
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 Central PA Primary Carellc's NPI number?
The NPI number for Central PA Primary Carellc is 1053279661. It was assigned to this organization in the NPPES registry on January 13, 2026.
Where is Central PA Primary Carellc located?
Central PA Primary Carellc is located at 914 S 12th St, Altoona, PA 16602. The listed phone number is (814) 201-2309.
What is Central PA Primary Carellc's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Central PA Primary Carellc enrolled in Medicare?
Yes. Central PA Primary Carellc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central PA Primary Carellc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Central PA Primary Carellc. 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 Central PA Primary Carellc was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Central Pa Primary Carellc · NPI 1053279661
Medical organization in Altoona, Pennsylvania. Organization record, active in the CMS NPPES registry since January 13, 2026.
## Identity
- **NPI:** 1053279661 (Entity type: Organization)
- **Enumerated:** January 13, 2026
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Organization subpart:** No
- **Authorized official:** Ziad Khoury, OWNER
## Practice location
- **Address:** 914 S 12TH ST, Altoona, PA 16602-6247
- **Phone:** (814) 201-2309 · **Fax:** (814) 201-2389
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053279661) · Data from the CMS NPPES public registry.