AFFINITY HEALTH GROUP ULM CLINIC
NPI 1053734780
Family Medicine in Monroe, LA
About Affinity Health Group Ulm Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFFINITY HEALTH GROUP ULM CLINIC (NPI 1053734780) is a healthcare organization registered as a family medicine in Monroe, Louisiana and active in the NPI registry since January 2014. The organization lists Mike Breard, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Affinity Health Group Ulm Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
156Medicare enrollment records show 156 clinicians reassign Medicare billing to Affinity Health Group Ulm Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 120 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 156Source: 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 Affinity Health Group, LLC's NPI number?
The NPI number for Affinity Health Group, LLC is 1053734780. It was assigned to this organization in the NPPES registry on January 31, 2014. The provider is doing business as Affinity Health Group Ulm Clinic.
Where is Affinity Health Group, LLC located?
Affinity Health Group, LLC is located at 1140 University Ave, Monroe, LA 71209. The listed phone number is (318) 342-1651.
What is Affinity Health Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Affinity Health Group, LLC enrolled in Medicare?
Yes. Affinity Health Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Affinity Health Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 156 clinicians in 18 Medicare specialties reassign their Medicare billing to Affinity Health Group, 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 Nurse Practitioner (90), Family Practice (18) and Internal Medicine (8). Of these, 1 practice at this address and 120 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Affinity Health Group, LLC was last updated on January 31, 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.
# Affinity Health Group Ulm Clinic · NPI 1053734780
Family Medicine organization in Monroe, Louisiana. Organization record, active in the CMS NPPES registry since January 31, 2014.
## Identity
- **NPI:** 1053734780 (Entity type: Organization)
- **Enumerated:** January 31, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Affinity Health Group, Llc
- **Organization subpart:** No
- **Authorized official:** Mike Breard, VICE PRESIDENT
## Practice location
- **Address:** 1140 UNIVERSITY AVE, Monroe, LA 71209-0001
- **Phone:** (318) 342-1651 · **Fax:** (318) 342-3280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 156 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (90), Family Practice (18), Internal Medicine (8); 1 practice at this address and 120 within 10 miles; [full list](https://npiprofile.com/npi/1053734780/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1053734780) · Data from the CMS NPPES public registry.