SUMMIT MEDICAL CAROLINAS LLC
NPI 1285343871
Family Medicine in Fort Mill, SC
About Summit Medical Carolinas Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT MEDICAL CAROLINAS LLC (NPI 1285343871) is a healthcare organization registered as a family medicine in Fort Mill, South Carolina and active in the NPI registry since November 2022. The organization lists Rajendra Kadari, Member/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 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)
Summit Medical Carolinas Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Summit Medical Carolinas LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Summit Medical Carolinas LLC's NPI number?
The NPI number for Summit Medical Carolinas LLC is 1285343871. It was assigned to this organization in the NPPES registry on November 22, 2022.
Where is Summit Medical Carolinas LLC located?
Summit Medical Carolinas LLC is located at 885 Gold Hill Rd # 253, Fort Mill, SC 29708. The listed phone number is (720) 644-9355.
What is Summit Medical Carolinas LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Summit Medical Carolinas LLC enrolled in Medicare?
Yes. Summit Medical Carolinas LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Medical Carolinas LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Summit Medical Carolinas LLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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.
When was this NPI record last updated?
The NPPES record for Summit Medical Carolinas LLC was last updated on April 3, 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.
# Summit Medical Carolinas Llc · NPI 1285343871
Family Medicine organization in Fort Mill, South Carolina. Organization record, active in the CMS NPPES registry since November 22, 2022.
## Identity
- **NPI:** 1285343871 (Entity type: Organization)
- **Enumerated:** November 22, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rajendra Kadari, MEMBER/MANAGER
## Practice location
- **Address:** 885 GOLD HILL RD # 253, Fort Mill, SC 29708-7946
- **Phone:** (720) 644-9355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285343871) · Data from the CMS NPPES public registry.