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UNION TPKE MEDICAL PC
NPI 1093988222
Clinic/Center - Medical Specialty in Flushing, NY

Active since April 09, 2008
15034 UNION TPKE, FLUSHING, NY 11367(718) 380-0011(718) 820-0841 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Union Tpke Medical Pc NPPES

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

UNION TPKE MEDICAL PC (NPI 1093988222) is a healthcare organization registered as a medical specialty in Flushing, New York and active in the NPI registry since April 2008. The organization lists Roxana M, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093988222
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameUNION TPKE MEDICAL PC
Location Address15034 UNION TPKEFlushing, NY 11367-3928
Mailing Address15034 Union TpkeFlushing, NY 11367-3928 · (718) 380-0011 · Fax (718) 820-0841
Phone(718) 380-0011
Fax(718) 820-0841
Organization SubpartNo
Authorized OfficialRoxana MOffice Manager · (718) 380-0011
Enumeration DateApril 9, 2008
✔ NPI 1093988222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 203378
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
15034 UNION TPKE, Flushing, NY 11367
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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)

Union Tpke Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120123000007Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Union Tpke Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Larisa Khesina, M.D.
Internal Medicine
NPI 1609825736
15034 UNION TPKE
Flushing, NY 11367
(718) 380-0011
✔ 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.

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 Union Tpke Medical PC's NPI number?

The NPI number for Union Tpke Medical PC is 1093988222. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Union Tpke Medical PC located?

Union Tpke Medical PC is located at 15034 Union Tpke, Flushing, NY 11367. The listed phone number is (718) 380-0011.

What is Union Tpke Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Union Tpke Medical PC enrolled in Medicare?

Yes. Union Tpke Medical PC is registered in the Medicare PECOS enrollment system.

When is Union Tpke Medical 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 October 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 Union Tpke Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Union Tpke Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Union Tpke Medical PC was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.