OPTIMUM PRIMARY CARE LLC
NPI 1073748216
Internal Medicine in Hammond, IN
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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, INOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAMMOND, IN 46324
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.
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.
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 with the weekly NPPES data releases published by CMS.