PRIORITY ONE HEALTHCARE LLC
NPI 1265294409
Family Medicine in Homewood, IL
About Priority One Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIORITY ONE HEALTHCARE LLC (NPI 1265294409) is a healthcare organization registered as a family medicine in Homewood, Illinois and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Priya Shastri, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Priority One Healthcare 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 Priority One Healthcare 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 14D2229458
Priority One Healthcare, LLC · Homewood, ILFrequently 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 Priority One Healthcare LLC's NPI number?
The NPI number for Priority One Healthcare LLC is 1265294409. It was assigned to this organization in the NPPES registry on January 24, 2024.
Where is Priority One Healthcare LLC located?
Priority One Healthcare LLC is located at 17901 Governors Hwy, Homewood, IL 60430. The listed phone number is (708) 213-7975.
What is Priority One Healthcare LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Priority One Healthcare LLC enrolled in Medicare?
Yes. Priority One Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Priority One Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Priority One Healthcare 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 Priority One Healthcare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2229458) is associated with this NPI, valid through July 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 Priority One Healthcare LLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Priority One Healthcare Llc · NPI 1265294409
Family Medicine organization in Homewood, Illinois. Organization record, active in the CMS NPPES registry since January 24, 2024.
## Identity
- **NPI:** 1265294409 (Entity type: Organization)
- **Enumerated:** January 24, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Priya Shastri, PHYSICIAN
## Practice location
- **Address:** 17901 GOVERNORS HWY, Homewood, IL 60430-1144
- **Phone:** (708) 213-7975
## 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:** March 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265294409) · Data from the CMS NPPES public registry.