FATIMA PEDIATRIC MEDICAL CARE PC
NPI 1295896744
Legal Medicine in Astoria, NY
About Fatima Pediatric Medical Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FATIMA PEDIATRIC MEDICAL CARE PC (NPI 1295896744) is a healthcare organization registered as a legal medicine in Astoria, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Mohyuddin M Qureshi, Sole Proprietor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fatima Pediatric Medical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Fatima Pediatric Medical Care PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (10)
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 33D0933647
Fatima Pediatric Medical Care PC · Astoria, 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 Fatima Pediatric Medical Care PC's NPI number?
The NPI number for Fatima Pediatric Medical Care PC is 1295896744. It was assigned to this organization in the NPPES registry on December 12, 2006.
Where is Fatima Pediatric Medical Care PC located?
Fatima Pediatric Medical Care PC is located at 2552 Steinway St, Astoria, NY 11103. The listed phone number is (718) 777-6695.
What is Fatima Pediatric Medical Care PC's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is Fatima Pediatric Medical Care PC enrolled in Medicare?
Yes. Fatima Pediatric Medical Care PC is registered in the Medicare PECOS enrollment system.
When is Fatima Pediatric Medical Care PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fatima Pediatric Medical Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians reassign their Medicare billing to Fatima Pediatric Medical Care PC, in Cardiovascular Disease (Cardiology), Dermatology, Family Practice, Hospitalist, Obstetrics/Gynecology and 3 other specialties. 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. Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fatima Pediatric Medical Care PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0933647) is associated with this NPI, valid through February 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 Fatima Pediatric Medical Care PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Fatima Pediatric Medical Care Pc · NPI 1295896744
Legal Medicine organization in Astoria, New York. Organization record, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1295896744 (Entity type: Organization)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Organization subpart:** No
- **Authorized official:** Mohyuddin Qureshi, SOLE PROPRIETOR
## Practice location
- **Address:** 2552 STEINWAY ST, Astoria, NY 11103-3759
- **Phone:** (718) 777-6695
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Pediatric Medicine (2), Cardiovascular Disease (Cardiology) (1); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 01583311 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295896744) · Data from the CMS NPPES public registry.