NOTT STREET MEDICAL, PLLC
NPI 1154330892
Internal Medicine in Schenectady, NY
About Nott Street Medical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOTT STREET MEDICAL, PLLC (NPI 1154330892) is a healthcare organization registered as an internal medicine in Schenectady, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Ali Mirza, Owner & Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Nott Street Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Nott Street Medical, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 33D1069403
Nott Street Medical PLLC · Schenectady, 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 Nott Street Medical, PLLC's NPI number?
The NPI number for Nott Street Medical, PLLC is 1154330892. It was assigned to this organization in the NPPES registry on August 5, 2006.
Where is Nott Street Medical, PLLC located?
Nott Street Medical, PLLC is located at 1150 Nott St, Schenectady, NY 12308. The listed phone number is (518) 374-1655.
What is Nott Street Medical, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nott Street Medical, PLLC enrolled in Medicare?
Yes. Nott Street Medical, PLLC is registered in the Medicare PECOS enrollment system.
When is Nott Street Medical, PLLC'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 (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Nott Street Medical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Nott Street Medical, 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 (5) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Nott Street Medical, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1069403) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Nott Street Medical, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nott Street Medical, Pllc · NPI 1154330892
Internal Medicine organization in Schenectady, New York. Organization record, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1154330892 (Entity type: Organization)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ali Mirza, OWNER & SOLE MEMBER
## Practice location
- **Address:** 1150 NOTT ST, Schenectady, NY 12308-2426
- **Phone:** (518) 374-1655 · **Fax:** (518) 374-1657
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other H230 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154330892) · Data from the CMS NPPES public registry.