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PREMIUM PRACTICE SOLUTIONS, LLC
NPI 1164711214
Internal Medicine - Gastroenterology in Lighthouse Point, FL

Active since March 29, 2011CLIA 10D2138281 · Certificate of Compliance
5340 N FEDERAL HWY STE 110, LIGHTHOUSE POINT, FL 33064(954) 428-2480(954) 428-2904 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premium Practice Solutions, Llc NPPES

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

PREMIUM PRACTICE SOLUTIONS, LLC (NPI 1164711214) is a healthcare organization registered as a gastroenterology in Lighthouse Point, Florida and active in the NPI registry since March 2011. The organization holds a CLIA Certificate of Compliance certificate valid through February 15, 2028, maintains a secondary practice location in Coral Springs, and lists Hang Nguyen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164711214
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePREMIUM PRACTICE SOLUTIONS, LLC
Location Address5340 N FEDERAL HWY STE 110Lighthouse Point, FL 33064-7058
Mailing Address5340 N Federal Hwy Ste 110Lighthouse Point, FL 33064-7058 · (954) 428-2480 · Fax (954) 428-2904
Phone(954) 428-2480
Fax(954) 428-2904
Organization SubpartNo
Authorized OfficialHang NguyenOffice Manager · (954) 428-2480
Enumeration DateMarch 29, 2011
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedFebruary 15, 2021
✔ NPI 1164711214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME89279
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5340 N FEDERAL HWY STE 110, Lighthouse Point, FL 33064
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Secondary Practice Location 1

Location 11500 N University Dr Ste 100Coral Springs, FL 33071-6071 · Phone (954) 428-2480 · Fax (954) 757-4003

Other Identifiers 2

OtherFG672AFL · Medicare
Medicaid008600100FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premium Practice Solutions, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Premium Practice Solutions, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Mayuri Gupta, MD
Internal Medicine
NPI 1114075785
5340 N FEDERAL HWY STE 110
Lighthouse Point, FL 33064
(954) 425-2480
✔ PECOS✔ Accepts MedicareSame address
Vipin Gupta, MD
Gastroenterology
NPI 1912091794
5340 N FEDERAL HWY STE 110
Lighthouse Point, FL 33064
(954) 428-2480
✔ PECOS✔ Accepts MedicareSame address
James Radke, MD
Gastroenterology
NPI 1518953025
5340 N FEDERAL HWY STE 110
Lighthouse Point, FL 33064
(954) 428-2480
✔ PECOS✔ Accepts MedicareSame address
Eduardo Quintero Nazario, M.D.
Gastroenterology
NPI 1306133988
2800 S SEACREST BLVD STE 110
Boynton Beach, FL 33435
(631) 444-5220
✔ PECOS✔ Accepts Medicare14 mi
Donald Zeller, M.D.
Pathology
NPI 1154360733
3355 BURNS RD SUITE 105
Palm Beach Gardens, FL 33410
(561) 775-7968
✔ PECOS✔ Accepts Medicare37 mi

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 Compliance 10D2138281

Premium Practice Solutions LLC · Lighthouse Point, FL
Active · expires Feb 15, 2028
CLIA Number10D2138281
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorCarlos D. Bedetti
Laboratory Phone(954) 428-2480
Laboratory LocationPremium Practice Solutions LLC5340 N Federal Hwy Suite 110, Lighthouse Point, FL 33064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Premium Practice Solutions, LLC's NPI number?

The NPI number for Premium Practice Solutions, LLC is 1164711214. It was assigned to this organization in the NPPES registry on March 29, 2011.

Where is Premium Practice Solutions, LLC located?

Premium Practice Solutions, LLC is located at 5340 N Federal Hwy Ste 110, Lighthouse Point, FL 33064. The listed phone number is (954) 428-2480.

What is Premium Practice Solutions, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Premium Practice Solutions, LLC enrolled in Medicare?

Yes. Premium Practice Solutions, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premium Practice Solutions, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Premium Practice Solutions, 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. The largest specialties are Gastroenterology (3), Internal Medicine (1) and Pathology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premium Practice Solutions, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2138281) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premium Practice Solutions, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Premium Practice Solutions, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premium Practice Solutions, LLC was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.