LOYAL MEDICAL PC
NPI 1366833352
Clinic/Center - Primary Care in Flushing, NY
About Loyal Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOYAL MEDICAL PC (NPI 1366833352) is a healthcare organization registered as a primary care in Flushing, New York and active in the NPI registry since February 2015. The organization lists Matsuko Takeshige, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Loyal Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Loyal Medical PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Loyal Medical PC's NPI number?
The NPI number for Loyal Medical PC is 1366833352. It was assigned to this organization in the NPPES registry on February 11, 2015.
Where is Loyal Medical PC located?
Loyal Medical PC is located at 4242 Colden St Apt L17, Flushing, NY 11355. The listed phone number is (718) 661-4800.
What is Loyal Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Loyal Medical PC enrolled in Medicare?
Yes. Loyal Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Loyal Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Loyal Medical PC. 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.
When was this NPI record last updated?
The NPPES record for Loyal Medical PC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Loyal Medical Pc · NPI 1366833352
Primary Care organization in Flushing, New York. Organization record, active in the CMS NPPES registry since February 11, 2015.
## Identity
- **NPI:** 1366833352 (Entity type: Organization)
- **Enumerated:** February 11, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Matsuko Takeshige, PRESIDENT
## Practice location
- **Address:** 4242 COLDEN ST APT L17, Flushing, NY 11355-4855
- **Phone:** (718) 661-4800 · **Fax:** (718) 888-2701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2025
- **Other identifiers:** Medicaid 0460931 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1366833352) · Data from the CMS NPPES public registry.