BAY MEDICAL CARE LLC
NPI 1205122330
Clinic/Center in Alexandria, VA
About Bay Medical Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAY MEDICAL CARE LLC (NPI 1205122330) is a healthcare organization registered as a clinic/center in Alexandria, Virginia and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Dhirgham Kshash, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bay Medical Care Llc 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 Bay Medical Care LLC, 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 49D2055536
Bay Medical Care, LLC · Alexandria, VAFrequently 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 Bay Medical Care LLC's NPI number?
The NPI number for Bay Medical Care LLC is 1205122330. It was assigned to this organization in the NPPES registry on June 28, 2011.
Where is Bay Medical Care LLC located?
Bay Medical Care LLC is located at 4010 Maury Pl Ste 8B, Alexandria, VA 22309. The listed phone number is (703) 665-0508.
What is Bay Medical Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Bay Medical Care LLC enrolled in Medicare?
Yes. Bay Medical Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bay Medical Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bay Medical Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bay Medical Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2055536) is associated with this NPI, valid through March 12, 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 Bay Medical Care LLC was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Bay Medical Care Llc · NPI 1205122330
Clinic/Center organization in Alexandria, Virginia. Organization record, active in the CMS NPPES registry since June 28, 2011.
## Identity
- **NPI:** 1205122330 (Entity type: Organization)
- **Enumerated:** June 28, 2011
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Dhirgham Kshash, DIRECTOR
## Practice location
- **Address:** 4010 MAURY PL, STE 8B, Alexandria, VA 22309-2340
- **Phone:** (703) 665-0508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2011
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1205122330) · Data from the CMS NPPES public registry.