PREMIER FAMILY MEDICINE PC
NPI 1225228778
Family Medicine in Elmhurst, NY
About Premier Family Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER FAMILY MEDICINE PC (NPI 1225228778) is a healthcare organization registered as a family medicine in Elmhurst, New York and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Yong R Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Premier Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Family Medicine PC, 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 33D1053799
Premier Family Medical PC · Elmhurst, 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 Premier Family Medicine PC's NPI number?
The NPI number for Premier Family Medicine PC is 1225228778. It was assigned to this organization in the NPPES registry on July 31, 2007.
Where is Premier Family Medicine PC located?
Premier Family Medicine PC is located at 86-35 Queens Blvd 1-E, Elmhurst, NY 11373. The listed phone number is (718) 205-4544.
What is Premier Family Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Premier Family Medicine PC enrolled in Medicare?
Yes. Premier Family Medicine PC is registered in the Medicare PECOS enrollment system.
When is Premier Family Medicine PC'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 February 28, 2027. 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 Premier Family Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Premier Family Medicine PC. 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 Premier Family Medicine PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1053799) is associated with this NPI, valid through May 4, 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 Premier Family Medicine PC was last updated on January 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Premier Family Medicine Pc · NPI 1225228778
Family Medicine organization in Elmhurst, New York. Organization record, active in the CMS NPPES registry since July 31, 2007.
## Identity
- **NPI:** 1225228778 (Entity type: Organization)
- **Enumerated:** July 31, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Yong Kim, PRESIDENT
## Practice location
- **Address:** 86-35 QUEENS BLVD, 1-E, Elmhurst, NY 11373
- **Phone:** (718) 205-4544 · **Fax:** (718) 205-5594
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** January 25, 2013
- **Other identifiers:** Other 06378 (NY); Medicare PIN 06378 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225228778) · Data from the CMS NPPES public registry.