LIFECARE MEDICAL, PLLC
NPI 1205253903
Internal Medicine in Flushing, NY
About Lifecare Medical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFECARE MEDICAL, PLLC (NPI 1205253903) is a healthcare organization registered as an internal medicine in Flushing, New York and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Ya Li Lin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Lifecare Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lifecare Medical, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 33D2075434
Lifecare Medical PLLC · Flushing, 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 Lifecare Medical, PLLC's NPI number?
The NPI number for Lifecare Medical, PLLC is 1205253903. It was assigned to this organization in the NPPES registry on March 20, 2014.
Where is Lifecare Medical, PLLC located?
Lifecare Medical, PLLC is located at 13324 Sanford Ave Apt 1K, Flushing, NY 11355. The listed phone number is (718) 353-0555.
What is Lifecare Medical, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Lifecare Medical, PLLC enrolled in Medicare?
Yes. Lifecare Medical, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifecare Medical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lifecare Medical, PLLC, in Hospitalist and Internal Medicine. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lifecare Medical, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2075434) is associated with this NPI, valid through March 27, 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 Lifecare Medical, PLLC was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Lifecare Medical, Pllc · NPI 1205253903
Internal Medicine organization in Flushing, New York. Organization record, active in the CMS NPPES registry since March 20, 2014.
## Identity
- **NPI:** 1205253903 (Entity type: Organization)
- **Enumerated:** March 20, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ya Lin, PRESIDENT
## Practice location
- **Address:** 13324 SANFORD AVE APT 1K, Flushing, NY 11355-3618
- **Phone:** (718) 353-0555 · **Fax:** (718) 353-0566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospitalist (1), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2014
- **Other identifiers:** Medicaid 03573159 (NY)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1205253903) · Data from the CMS NPPES public registry.