ADVANCED INTERNAL MEDICINE LLC
NPI 1124342407
Clinic/Center - Primary Care in Peru, IN
About Advanced Internal Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED INTERNAL MEDICINE LLC (NPI 1124342407) is a healthcare organization registered as a primary care in Peru, Indiana and active in the NPI registry since March 2010. The organization lists Gregory A Quin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Advanced Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Internal Medicine LLC, 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.
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 Advanced Internal Medicine LLC's NPI number?
The NPI number for Advanced Internal Medicine LLC is 1124342407. It was assigned to this organization in the NPPES registry on March 16, 2010.
Where is Advanced Internal Medicine LLC located?
Advanced Internal Medicine LLC is located at 302 N Duke St, Peru, IN 46970. The listed phone number is (765) 472-3944.
What is Advanced Internal Medicine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Advanced Internal Medicine LLC enrolled in Medicare?
Yes. Advanced Internal Medicine LLC is registered in the Medicare PECOS enrollment system.
When is Advanced Internal Medicine LLC'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 (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Advanced Internal Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Advanced Internal Medicine LLC. 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 Advanced Internal Medicine LLC was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Advanced Internal Medicine Llc · NPI 1124342407
Primary Care organization in Peru, Indiana. Organization record, active in the CMS NPPES registry since March 16, 2010.
## Identity
- **NPI:** 1124342407 (Entity type: Organization)
- **Enumerated:** March 16, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Gregory Quin, OWNER
## Practice location
- **Address:** 302 N DUKE ST, Peru, IN 46970-1520
- **Phone:** (765) 472-3944 · **Fax:** (765) 472-3945
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2013
- **Other identifiers:** Medicare UPIN G39639 (IN); Medicaid 200131050 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1124342407) · Data from the CMS NPPES public registry.