PRIME ENT SINUS SLEEP & ALLERGY INC
NPI 1154048395
Otolaryngology in Stockton, CA

Active since October 27, 2022
1503 E MARCH LN STE A, STOCKTON, CA 95210(209) 315-0400(209) 314-6455 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2023, Feb 6, 2023, Oct 27, 2022 (3 updates tracked since 2022).

About Prime Ent Sinus Sleep & Allergy Inc NPPES

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

PRIME ENT SINUS SLEEP & ALLERGY INC (NPI 1154048395) is a healthcare organization registered as an otolaryngology in Stockton, California and active in the NPI registry since October 2022. The organization lists Shilpa S Malik, Owner, as its authorized official.

NPPES Registry Identity

NPI1154048395
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePRIME ENT SINUS SLEEP & ALLERGY INC
Location Address1503 E MARCH LN STE AStockton, CA 95210-5622
Mailing AddressPo Box 1450Lodi, CA 95241-1450 · (209) 315-0400 · Fax (209) 314-6455
Fax(209) 314-6455
Organization SubpartNo
Authorized OfficialShilpa S MalikOwner · (614) 595-2033
Enumeration DateOctober 27, 2022
Last NPPES UpdateMay 25, 20233 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1154048395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1503 E MARCH LN STE A, Stockton, CA 95210

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Prime Ent Sinus Sleep & Allergy Inc 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 Prime Ent Sinus Sleep & Allergy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1316280142
2545 W HAMMER LN
Stockton, CA 95209
(209) 943-5185
✔ PECOS✔ Accepts Medicare3.4 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 Prime Ent Sinus Sleep & Allergy Inc's NPI number?

The NPI number for Prime Ent Sinus Sleep & Allergy Inc is 1154048395. It was assigned to this organization in the NPPES registry on October 27, 2022.

Where is Prime Ent Sinus Sleep & Allergy Inc located?

Prime Ent Sinus Sleep & Allergy Inc is located at 1503 E March Ln Ste A, Stockton, CA 95210. The listed phone number is (209) 315-0400.

What is Prime Ent Sinus Sleep & Allergy Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Prime Ent Sinus Sleep & Allergy Inc enrolled in Medicare?

Yes. Prime Ent Sinus Sleep & Allergy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Ent Sinus Sleep & Allergy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Prime Ent Sinus Sleep & Allergy Inc. 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 Prime Ent Sinus Sleep & Allergy Inc was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.