ALTA MEDICAL CARE, LLC
NPI 1265282404
Clinic/Center - Primary Care in Sunrise, FL
About Alta Medical Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTA MEDICAL CARE, LLC (NPI 1265282404) is a healthcare organization registered as a primary care in Sunrise, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Benz R Celestin, Managing Owner, 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)
Alta 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 Alta 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 10D2316371
Alta Medical Care LLC · Sunrise, FLFrequently 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 Alta Medical Care, LLC's NPI number?
The NPI number for Alta Medical Care, LLC is 1265282404. It was assigned to this organization in the NPPES registry on March 22, 2024.
Where is Alta Medical Care, LLC located?
Alta Medical Care, LLC is located at 3537 N Pine Island Rd, Sunrise, FL 33351. The listed phone number is (954) 270-4325.
What is Alta Medical Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Alta Medical Care, LLC enrolled in Medicare?
Yes. Alta Medical Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alta Medical Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Alta 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 Alta Medical Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2316371) is associated with this NPI, valid through January 2, 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 Alta Medical Care, LLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alta Medical Care, Llc · NPI 1265282404
Primary Care organization in Sunrise, Florida. Organization record, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1265282404 (Entity type: Organization)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Benz Celestin, MANAGING OWNER
## Practice location
- **Address:** 3537 N PINE ISLAND RD, Sunrise, FL 33351-6638
- **Phone:** (954) 270-4325
## 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:** October 2, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1265282404) · Data from the CMS NPPES public registry.