FULTON FAMILY MEDICINE PRACTICE PC
NPI 1275806036
Family Medicine in Fulton, NY
About Fulton Family Medicine Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FULTON FAMILY MEDICINE PRACTICE PC (NPI 1275806036) is a healthcare organization registered as a family medicine in Fulton, New York and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Esther Serwadda Lubinga, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Fulton Family Medicine Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Fulton Family Medicine Practice PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 33D2039131
Fulton Family Medicine Practice, PC · Fulton, 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 Fulton Family Medicine Practice PC's NPI number?
The NPI number for Fulton Family Medicine Practice PC is 1275806036. It was assigned to this organization in the NPPES registry on February 9, 2012.
Where is Fulton Family Medicine Practice PC located?
Fulton Family Medicine Practice PC is located at 20 Canalview Mall, Fulton, NY 13069. The listed phone number is (315) 532-8049.
What is Fulton Family Medicine Practice PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Fulton Family Medicine Practice PC enrolled in Medicare?
Yes. Fulton Family Medicine Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fulton Family Medicine Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Fulton Family Medicine Practice 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. The largest specialties are Nurse Practitioner (5) and Family Practice (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fulton Family Medicine Practice PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2039131) is associated with this NPI, valid through April 1, 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 Fulton Family Medicine Practice PC was last updated on May 1, 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.
# Fulton Family Medicine Practice Pc · NPI 1275806036
Family Medicine organization in Fulton, New York. Organization record, active in the CMS NPPES registry since February 9, 2012.
## Identity
- **NPI:** 1275806036 (Entity type: Organization)
- **Enumerated:** February 9, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Esther Lubinga, OWNER
## Practice location
- **Address:** 20 CANALVIEW MALL, Fulton, NY 13069-1735
- **Phone:** (315) 532-8049
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2013
- **Other identifiers:** Medicaid 03444819 (NY); Medicare PIN J100068789 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275806036) · Data from the CMS NPPES public registry.