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PS MEDICAL CARE OF ELMONT PLLC
NPI 1225559990
Internal Medicine - Rheumatology in Elmont, NY

Active since July 03, 2017CLIA 33D2163171 · Waiver
20B MEACHAM AVE, ELMONT, NY 11003(516) 502-9355(888) 858-2068 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 2, 2024, Aug 21, 2024, Apr 2, 2019 and 2 more (5 updates tracked since 2017).

About Ps Medical Care Of Elmont Pllc NPPES

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

PS MEDICAL CARE OF ELMONT PLLC (NPI 1225559990) is a healthcare organization registered as a rheumatology in Elmont, New York and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Fatima Khan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225559990
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NamePS MEDICAL CARE OF ELMONT PLLC
Location Address20B MEACHAM AVEElmont, NY 11003-2654
Mailing Address20b Meacham AveElmont, NY 11003-2654 · (516) 502-9355 · Fax (888) 858-2068
Phone(516) 502-9355
Fax(888) 858-2068
Organization SubpartNo
Authorized OfficialFatima KhanAdministrator · (501) 766-4777
Enumeration DateJuly 3, 2017
Last NPPES UpdateDecember 2, 20245 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1225559990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X
20B MEACHAM AVE, Elmont, NY 11003
Open in Google Maps ↗

Other Identifiers 1

Other268169NY · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ps Medical Care Of Elmont 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 Ps Medical Care Of Elmont PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fatima Khan, MD
Rheumatology
NPI 1407070667
26701 HILLSIDE AVE
Floral Park, NY 11004
(718) 343-7790
✔ PECOS✔ Accepts Medicare2.3 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 Waiver 33D2163171

Ps Medical Care Of Elmont PLLC · Elmont, NY
Active · expires Mar 7, 2027
CLIA Number33D2163171
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Shanmukha Priya
Laboratory Phone(516) 502-9355
Laboratory LocationPs Medical Care Of Elmont PLLC20 B Meacham Avenue, Elmont, NY 11003
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ps Medical Care Of Elmont PLLC's NPI number?

The NPI number for Ps Medical Care Of Elmont PLLC is 1225559990. It was assigned to this organization in the NPPES registry on July 3, 2017.

Where is Ps Medical Care Of Elmont PLLC located?

Ps Medical Care Of Elmont PLLC is located at 20B Meacham Ave, Elmont, NY 11003. The listed phone number is (516) 502-9355.

What is Ps Medical Care Of Elmont PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ps Medical Care Of Elmont PLLC enrolled in Medicare?

Yes. Ps Medical Care Of Elmont PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ps Medical Care Of Elmont PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Rheumatology) reassigns their Medicare billing to Ps Medical Care Of Elmont 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 Ps Medical Care Of Elmont PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2163171) is associated with this NPI, valid through March 7, 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 Ps Medical Care Of Elmont PLLC was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.