VILLAGE PEDIATRICS & RHEUMOTOLOGY LLC
NPI 1366520363
Internal Medicine - Rheumatology in Hamburg, NY

Active since November 01, 2006CLIA 33D0934730 · Microscopy
17 LONG AVENUE, SUITE 110, HAMBURG, NY 14075(716) 646-5188(716) 646-5190 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Village Pediatrics & Rheumotology Llc NPPES

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

VILLAGE PEDIATRICS & RHEUMOTOLOGY LLC (NPI 1366520363) is a healthcare organization registered as a rheumatology in Hamburg, New York and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through October 13, 2027 and lists Joan Calkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1366520363
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameVILLAGE PEDIATRICS & RHEUMOTOLOGY LLC
Location Address17 LONG AVENUE, SUITE 110Hamburg, NY 14075
Mailing Address17 Long Avenue, Suite 110Hamburg, NY 14075 · (716) 646-5188 · Fax (716) 646-5190
Fax(716) 646-5190
Organization SubpartNo
Authorized OfficialJoan CalkinsOwner · (716) 646-5188
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1366520363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Pediatric RheumatologyTaxonomy 2080P0216X
17 LONG AVENUE, Hamburg, NY 14075

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Village Pediatrics & Rheumotology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20091130000014Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Village Pediatrics & Rheumotology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1518928456
17 LONG AVE STE 110
Hamburg, NY 14075
(716) 646-5188
✔ PECOSSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 33D0934730

Village Pediatrics · Hamburg, NY
Active · expires Oct 13, 2027
CLIA Number33D0934730
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorJoan Calkins MD
Laboratory Phone(716) 646-5192
Laboratory LocationVillage Pediatrics17 Long Avenue Suite 110, Hamburg, NY 14075
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Village Pediatrics & Rheumotology LLC's NPI number?

The NPI number for Village Pediatrics & Rheumotology LLC is 1366520363. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Village Pediatrics & Rheumotology LLC located?

Village Pediatrics & Rheumotology LLC is located at 17 Long Avenue Suite 110, Hamburg, NY 14075. The listed phone number is (716) 646-5188.

What is Village Pediatrics & Rheumotology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Village Pediatrics & Rheumotology LLC enrolled in Medicare?

Yes. Village Pediatrics & Rheumotology LLC is registered in the Medicare PECOS enrollment system.

When is Village Pediatrics & Rheumotology 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 York, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Village Pediatrics & Rheumotology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Village Pediatrics & Rheumotology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Village Pediatrics & Rheumotology LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0934730) is associated with this NPI, valid through October 13, 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 Village Pediatrics & Rheumotology LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.