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PRIME HEALING CORP
NPI 1356984652
Clinic/Center - Multi-Specialty in Coral Springs, FL

Active since October 20, 2019
10101 W SAMPLE RD, CORAL SPRINGS, FL 33065(954) 864-3996(347) 227-1368 Get Directions Write a Review

NPPES record last updated: October 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prime Healing Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME HEALING CORP (NPI 1356984652) is a healthcare organization registered as a multi-specialty in Coral Springs, Florida and active in the NPI registry since October 2019. The organization lists Tony Oustabassidis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356984652
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRIME HEALING CORP
Location Address10101 W SAMPLE RDCoral Springs, FL 33065-3907
Mailing Address10101 W Sample RdCoral Springs, FL 33065-3907 · (954) 864-3996 · Fax (347) 227-1368
Phone(954) 864-3996
Fax(347) 227-1368
Organization SubpartNo
Authorized OfficialTony OustabassidisCeo · (954) 864-3996
Enumeration DateOctober 20, 2019
✔ NPI 1356984652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
10101 W SAMPLE RD, Coral Springs, FL 33065
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Healing Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prime Healing Corp, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Christine Lada
Nurse Practitioner
NPI 1790459485
6488 NW 99TH AVE
Parkland, FL 33076
(954) 498-1777
✔ PECOS2.6 mi
Anil Dutt, MD
General Surgery
NPI 1134165699
406 W OAK ST
Titusville, PA 16354
(814) 827-4244
✔ PECOS1,059 mi

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 Prime Healing Corp's NPI number?

The NPI number for Prime Healing Corp is 1356984652. It was assigned to this organization in the NPPES registry on October 20, 2019.

Where is Prime Healing Corp located?

Prime Healing Corp is located at 10101 W Sample Rd, Coral Springs, FL 33065. The listed phone number is (954) 864-3996.

What is Prime Healing Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Prime Healing Corp enrolled in Medicare?

Yes. Prime Healing Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Healing Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Prime Healing Corp, in General Surgery 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prime Healing Corp was last updated on October 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.