PREFERRED PROFESSIONAL MEDICAL CARE PC
NPI 1083916670
Internal Medicine in Ronkonkoma, NY
About Preferred Professional Medical Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREFERRED PROFESSIONAL MEDICAL CARE PC (NPI 1083916670) is a healthcare organization registered as an internal medicine in Ronkonkoma, New York and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Wei K Kao, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Preferred Professional Medical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Preferred Professional Medical Care PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (19)
Ronkonkoma, NY 11779
Stony Brook, NY 11794
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 33D2030010
Preferred Professional Medical · Ronkonkoma, NYFrequently 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 Preferred Professional Medical Care PC's NPI number?
The NPI number for Preferred Professional Medical Care PC is 1083916670. It was assigned to this organization in the NPPES registry on December 2, 2010.
Where is Preferred Professional Medical Care PC located?
Preferred Professional Medical Care PC is located at 3505 Veterans Memorial Hwy Suite C, Ronkonkoma, NY 11779. The listed phone number is (631) 676-7656.
What is Preferred Professional Medical Care PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Preferred Professional Medical Care PC enrolled in Medicare?
Yes. Preferred Professional Medical Care PC is registered in the Medicare PECOS enrollment system.
When is Preferred Professional Medical Care PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Preferred Professional Medical Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Preferred Professional Medical Care PC. 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 (11), Internal Medicine (4) and Hospitalist (2). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Preferred Professional Medical Care PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2030010) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Preferred Professional Medical Care PC was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Preferred Professional Medical Care Pc · NPI 1083916670
Internal Medicine organization in Ronkonkoma, New York. Organization record, active in the CMS NPPES registry since December 2, 2010.
## Identity
- **NPI:** 1083916670 (Entity type: Organization)
- **Enumerated:** December 2, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Wei Kao, PRESIDENT
## Practice location
- **Address:** 3505 VETERANS MEMORIAL HWY, SUITE C, Ronkonkoma, NY 11779-7640
- **Phone:** (631) 676-7656 · **Fax:** (631) 676-7648
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 19 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Internal Medicine (4), Hospitalist (2); 3 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2012
- **Other identifiers:** Medicare UPIN A65064 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083916670) · Data from the CMS NPPES public registry.