ALTAR HEALTHCARE GROUP, PLLC
NPI 1114796687
Family Medicine in Oak Lawn, IL
About Altar Healthcare Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTAR HEALTHCARE GROUP, PLLC (NPI 1114796687) is a healthcare organization registered as a family medicine in Oak Lawn, Illinois and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through May 4, 2028, maintains a secondary practice location in Springfield, and lists Marybell Ramirez, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Secondary Practice Location 1
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)
Altar Healthcare Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Altar Healthcare Group, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 14D2343316
Altar Healthcare Group, PLLC · Oak Lawn, ILFrequently 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 Altar Healthcare Group, PLLC's NPI number?
The NPI number for Altar Healthcare Group, PLLC is 1114796687. It was assigned to this organization in the NPPES registry on December 26, 2023.
Where is Altar Healthcare Group, PLLC located?
Altar Healthcare Group, PLLC is located at 10448 S Pulaski Rd Ste 6, Oak Lawn, IL 60453. The listed phone number is (708) 932-3260.
What is Altar Healthcare Group, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Altar Healthcare Group, PLLC enrolled in Medicare?
Yes. Altar Healthcare Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Altar Healthcare Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Altar Healthcare Group, PLLC. 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.
Does Altar Healthcare Group, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2343316) is associated with this NPI, valid through May 4, 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 Altar Healthcare Group, PLLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Altar Healthcare Group, Pllc · NPI 1114796687
Family Medicine organization in Oak Lawn, Illinois. Organization record, active in the CMS NPPES registry since December 26, 2023.
## Identity
- **NPI:** 1114796687 (Entity type: Organization)
- **Enumerated:** December 26, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Marybell Ramirez, NURSE PRACTITIONER
## Practice location
- **Address:** 10448 S PULASKI RD STE 6, Oak Lawn, IL 60453-4895
- **Phone:** (708) 932-3260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1114796687) · Data from the CMS NPPES public registry.