PROMED PREFERRED IA PLLC
NPI 1144196973
Internal Medicine in Bloomingburg, NY

Active since October 17, 2025
142 MAIN ST, BLOOMINGBURG, NY 12721(615) 499-3165 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Promed Preferred Ia Pllc NPPES

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

PROMED PREFERRED IA PLLC (NPI 1144196973) is a healthcare organization registered as an internal medicine in Bloomingburg, New York and active in the NPI registry since October 2025. The organization lists Lev Grinman, President, as its authorized official.

NPPES Registry Identity

NPI1144196973
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROMED PREFERRED IA PLLC
Location Address142 MAIN STBloomingburg, NY 12721-4611
Mailing Address329 S Oyster Bay Rd # 2059Plainview, NY 11803-3301
Organization SubpartNo
Authorized OfficialLev GrinmanPresident · (615) 499-3165
Enumeration DateOctober 17, 2025
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
✔ NPI 1144196973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
142 MAIN ST, Bloomingburg, NY 12721

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promed Preferred Ia 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 Promed Preferred Ia PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1124992110
6701 CORPORATE DR STE R
Johnston, IA 50131
(515) 207-2001
✔ PECOS✔ Accepts Medicare996 mi

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 Promed Preferred Ia PLLC's NPI number?

The NPI number for Promed Preferred Ia PLLC is 1144196973. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Promed Preferred Ia PLLC located?

Promed Preferred Ia PLLC is located at 142 Main St, Bloomingburg, NY 12721. The listed phone number is (615) 499-3165.

What is Promed Preferred Ia PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Promed Preferred Ia PLLC enrolled in Medicare?

Yes. Promed Preferred Ia PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promed Preferred Ia PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Promed Preferred Ia 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.

When was this NPI record last updated?

The NPPES record for Promed Preferred Ia PLLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.