SUMMIT PHYSICIAN GROUP LLP
NPI 1104343581
Family Medicine in Tuscaloosa, AL
About Summit Physician Group Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT PHYSICIAN GROUP LLP (NPI 1104343581) is a healthcare organization registered as a family medicine in Tuscaloosa, Alabama and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Oleksandra Kruhliakivska, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Summit Physician Group Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Summit Physician Group LLP, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 24Source: 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 01D2236316
Summit Physician Group, LLP · Tuscaloosa, ALFrequently 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 Summit Physician Group LLP's NPI number?
The NPI number for Summit Physician Group LLP is 1104343581. It was assigned to this organization in the NPPES registry on August 25, 2017.
Where is Summit Physician Group LLP located?
Summit Physician Group LLP is located at 657 Helen Keller Blvd, Tuscaloosa, AL 35404. The listed phone number is (205) 343-6979.
What is Summit Physician Group LLP's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Summit Physician Group LLP enrolled in Medicare?
Yes. Summit Physician Group LLP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Physician Group LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 3 Medicare specialties reassign their Medicare billing to Summit Physician Group LLP. 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 Family Practice (14), Nurse Practitioner (7) and Internal Medicine (3). Of these, 5 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Summit Physician Group LLP hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2236316) is associated with this NPI, valid through September 15, 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 Summit Physician Group LLP was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Summit Physician Group Llp · NPI 1104343581
Family Medicine organization in Tuscaloosa, Alabama. Organization record, active in the CMS NPPES registry since August 25, 2017.
## Identity
- **NPI:** 1104343581 (Entity type: Organization)
- **Enumerated:** August 25, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Oleksandra Kruhliakivska, BUSINESS MANAGER
## Practice location
- **Address:** 657 HELEN KELLER BLVD, Tuscaloosa, AL 35404-2983
- **Phone:** (205) 343-6979 · **Fax:** (205) 490-2374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (14), Nurse Practitioner (7), Internal Medicine (3); 5 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1104343581/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104343581) · Data from the CMS NPPES public registry.