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: July 26, 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
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

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

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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
7330 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Counselor (Mental Health)
7330 INDIANAPOLIS BLVD, SUITE TWO
HAMMOND, IN 46324
Home Health
7330 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Internal Medicine
7330 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Marriage & Family Therapist
7330 INDIANAPOLIS BLVD
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.