PROMED PREFERRED MO P.C.
NPI 1093682593
Internal Medicine in Melville, NY
About Promed Preferred Mo P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROMED PREFERRED MO P.C. (NPI 1093682593) is a healthcare organization registered as an internal medicine in Melville, New York and active in the NPI registry since October 2025. The organization lists Lev Grinman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Promed Preferred Mo P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Promed Preferred Mo P.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: 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 Promed Preferred Mo P.C.'s NPI number?
The NPI number for Promed Preferred Mo P.C. is 1093682593. It was assigned to this organization in the NPPES registry on October 20, 2025.
Where is Promed Preferred Mo P.C. located?
Promed Preferred Mo P.C. is located at 4 Legends Cir, Melville, NY 11747. The listed phone number is (615) 499-3165.
What is Promed Preferred Mo P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Promed Preferred Mo P.C. enrolled in Medicare?
Yes. Promed Preferred Mo P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Promed Preferred Mo P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Promed Preferred Mo P.C.. 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.
When was this NPI record last updated?
The NPPES record for Promed Preferred Mo P.C. was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Promed Preferred Mo P.c. · NPI 1093682593
Internal Medicine organization in Melville, New York. Organization record, active in the CMS NPPES registry since October 20, 2025.
## Identity
- **NPI:** 1093682593 (Entity type: Organization)
- **Enumerated:** October 20, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Lev Grinman, PRESIDENT
## Practice location
- **Address:** 4 LEGENDS CIR, Melville, NY 11747-5302
- **Phone:** (615) 499-3165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093682593) · Data from the CMS NPPES public registry.