43RD ST FAMILY PRACTICE PLLC
NPI 1194830265
Family Medicine in Sunnyside, NY
About 43rd St Family Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
43RD ST FAMILY PRACTICE PLLC (NPI 1194830265) is a healthcare organization registered as a family medicine in Sunnyside, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists Durga Maddineni, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
43rd St Family Practice 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 43rd St Family Practice PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 33D1024878
43rd Street Family Practice PLLC · Sunnyside, 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 43rd St Family Practice PLLC's NPI number?
The NPI number for 43rd St Family Practice PLLC is 1194830265. It was assigned to this organization in the NPPES registry on August 20, 2006.
Where is 43rd St Family Practice PLLC located?
43rd St Family Practice PLLC is located at 4543 43rd St, Sunnyside, NY 11104. The listed phone number is (718) 392-2220.
What is 43rd St Family Practice PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is 43rd St Family Practice PLLC enrolled in Medicare?
Yes. 43rd St Family Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 43rd St Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to 43rd St Family Practice 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.
Does 43rd St Family Practice PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1024878) is associated with this NPI, valid through April 22, 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 43rd St Family Practice PLLC was last updated on March 31, 2016. 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.
# 43rd St Family Practice Pllc · NPI 1194830265
Family Medicine organization in Sunnyside, New York. Organization record, active in the CMS NPPES registry since August 20, 2006.
## Identity
- **NPI:** 1194830265 (Entity type: Organization)
- **Enumerated:** August 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Durga Maddineni, MD
## Practice location
- **Address:** 4543 43RD ST, Sunnyside, NY 11104-2609
- **Phone:** (718) 392-2220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2016
- **Other identifiers:** Medicaid 02462119 (NY); Medicare PIN 07827 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194830265) · Data from the CMS NPPES public registry.