PAULINA MED CLINIC
NPI 1316103286
General Practice in Chicago, IL
About Paulina Med Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAULINA MED CLINIC (NPI 1316103286) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Andrea Rentea, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Paulina Med Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Paulina Med Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 14D0856173
Paulina Medical Clinic · Lincolnwood, 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 Paulina Med Clinic's NPI number?
The NPI number for Paulina Med Clinic is 1316103286. It was assigned to this organization in the NPPES registry on July 31, 2008.
Where is Paulina Med Clinic located?
Paulina Med Clinic is located at 3525 W Peterson Ave Suite 611, Chicago, IL 60659. The listed phone number is (773) 583-7793.
What is Paulina Med Clinic's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Paulina Med Clinic enrolled in Medicare?
Yes. Paulina Med Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Paulina Med Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Paulina Med Clinic, in Chiropractic and General Practice. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Paulina Med Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0856173) is associated with this NPI, valid through August 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 Paulina Med Clinic was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Paulina Med Clinic · NPI 1316103286
General Practice organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since July 31, 2008.
## Identity
- **NPI:** 1316103286 (Entity type: Organization)
- **Enumerated:** July 31, 2008
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Andrea Rentea, DOCTOR
## Practice location
- **Address:** 3525 W PETERSON AVE, SUITE 611, Chicago, IL 60659-3324
- **Phone:** (773) 583-7793 · **Fax:** (773) 583-7796
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (2), Chiropractic (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2011
- **Other identifiers:** Medicare PIN 714740
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316103286) · Data from the CMS NPPES public registry.