R JOUDEH MEDICAL PAVILION, PLLC
NPI 1134504376
Internal Medicine in Brooklyn, NY
About R Joudeh Medical Pavilion, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
R JOUDEH MEDICAL PAVILION, PLLC (NPI 1134504376) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Ramsey Joudeh, Sole Member, 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)
R Joudeh Medical Pavilion, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to R Joudeh Medical Pavilion, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 33D2107003
R Joudeh Medical Pavilion PLLC · Brooklyn, NYFrequently 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 R Joudeh Medical Pavilion, PLLC's NPI number?
The NPI number for R Joudeh Medical Pavilion, PLLC is 1134504376. It was assigned to this organization in the NPPES registry on July 29, 2015.
Where is R Joudeh Medical Pavilion, PLLC located?
R Joudeh Medical Pavilion, PLLC is located at 466 Bay Ridge Ave, Brooklyn, NY 11220. The listed phone number is (718) 491-2003.
What is R Joudeh Medical Pavilion, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is R Joudeh Medical Pavilion, PLLC enrolled in Medicare?
Yes. R Joudeh Medical Pavilion, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through R Joudeh Medical Pavilion, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to R Joudeh Medical Pavilion, 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. The largest specialties are Nurse Practitioner (3), Critical Care (Intensivists) (1) and Endocrinology (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does R Joudeh Medical Pavilion, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2107003) is associated with this NPI, valid through January 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 R Joudeh Medical Pavilion, PLLC was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# R Joudeh Medical Pavilion, Pllc · NPI 1134504376
Internal Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since July 29, 2015.
## Identity
- **NPI:** 1134504376 (Entity type: Organization)
- **Enumerated:** July 29, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ramsey Joudeh, SOLE MEMBER
## Practice location
- **Address:** 466 BAY RIDGE AVE, Brooklyn, NY 11220-5906
- **Phone:** (718) 491-2003 · **Fax:** (718) 491-2007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Critical Care (Intensivists) (1), Endocrinology (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134504376) · Data from the CMS NPPES public registry.