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OPTIMUM PRIMARY CARE LLC
NPI 1073748216
Internal Medicine in Hammond, IN

Active since May 18, 2009CLIA 15D2038601 · Waiver
7330 INDIANAPOLIS BLVD, HAMMOND, IN 46324(219) 844-1444 Get Directions Write a Review

NPPES record last updated: March 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Optimum Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMUM PRIMARY CARE LLC (NPI 1073748216) is a healthcare organization registered as an internal medicine in Hammond, Indiana and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Khaled A Reheem-farag, President, as its authorized official.

NPPES Registry Identity

NPI1073748216
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOPTIMUM PRIMARY CARE LLC
Location Address7330 INDIANAPOLIS BLVDHammond, IN 46324-2941
Mailing Address11116 Saratoga DrOrland Park, IL 60467-8740 · (773) 841-9238
Phone(219) 844-1444
Organization SubpartNo
Authorized OfficialKhaled A Reheem-faragPresident · (773) 841-9238
Enumeration DateMay 18, 2009
Last NPPES UpdateMarch 28, 2011
✔ NPI 1073748216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01059379A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7330 INDIANAPOLIS BLVD, Hammond, IN 46324
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Other Identifiers 1

OtherIL2028IL · Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Optimum Primary Care Llc 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 Optimum Primary Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khaled Reheem Farag, M.D.
Interventional Cardiology
NPI 1811931108
7330 INDIANAPOLIS BLVD
Hammond, IN 46324
(219) 844-1444
✔ PECOS✔ Accepts MedicareSame address

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 15D2038601

Optimum Primary Care, LLC · Hammond, IN
Active · expires Mar 21, 2028
CLIA Number15D2038601
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorKhaled A. Reheem-Farag
Laboratory Phone(219) 844-1444
Laboratory LocationOptimum Primary Care, LLC7330 Indianapolis Blvd, Hammond, IN 46324
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Optimum Primary Care LLC's NPI number?

The NPI number for Optimum Primary Care LLC is 1073748216. It was assigned to this organization in the NPPES registry on May 18, 2009.

Where is Optimum Primary Care LLC located?

Optimum Primary Care LLC is located at 7330 Indianapolis Blvd, Hammond, IN 46324. The listed phone number is (219) 844-1444.

What is Optimum Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Optimum Primary Care LLC enrolled in Medicare?

Yes. Optimum Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimum Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Cardiology) reassigns their Medicare billing to Optimum Primary Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optimum Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2038601) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optimum Primary Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Optimum Primary Care 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 Optimum Primary Care LLC was last updated on March 28, 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.