NORTHWEST MEDICAL CARE, LLC
NPI 1306964747
Internal Medicine in Succasunna, NJ
About Northwest Medical Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST MEDICAL CARE, LLC (NPI 1306964747) is a healthcare organization registered as an internal medicine in Succasunna, New Jersey and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Krithika Mullengada, Physician Owner, 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)
Northwest Medical Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Northwest Medical Care, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Succasunna, NJ 07876
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 31D1050351
Northwest Medical Care LLC · Succasunna, NJFrequently 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 Northwest Medical Care, LLC's NPI number?
The NPI number for Northwest Medical Care, LLC is 1306964747. It was assigned to this organization in the NPPES registry on March 26, 2007.
Where is Northwest Medical Care, LLC located?
Northwest Medical Care, LLC is located at 66 Sunset Strip Ste 407, Succasunna, NJ 07876. The listed phone number is (973) 252-1676.
What is Northwest Medical Care, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Northwest Medical Care, LLC enrolled in Medicare?
Yes. Northwest Medical Care, LLC is registered in the Medicare PECOS enrollment system.
When is Northwest Medical Care, LLC'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 Jersey, Clinic/Group Practice) is due for revalidation by February 28, 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 Northwest Medical Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Northwest 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. The largest specialties are Nurse Practitioner (5) and Internal Medicine (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northwest Medical Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1050351) is associated with this NPI, valid through January 31, 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 Northwest Medical Care, LLC was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Northwest Medical Care, Llc · NPI 1306964747
Internal Medicine organization in Succasunna, New Jersey. Organization record, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1306964747 (Entity type: Organization)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Krithika Mullengada, PHYSICIAN OWNER
## Practice location
- **Address:** 66 SUNSET STRIP, STE 407, Succasunna, NJ 07876-1345
- **Phone:** (973) 252-1676
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (1); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2014
- **Other identifiers:** Medicare PIN 099270 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306964747) · Data from the CMS NPPES public registry.