SWAN PRIMARY CARE PLLC
NPI 1376137083
Internal Medicine in Bloomingdale, IL
About Swan Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SWAN PRIMARY CARE PLLC (NPI 1376137083) is a healthcare organization registered as an internal medicine in Bloomingdale, Illinois and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Sunnan Moinuddin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Swan Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Swan Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (20)
Bloomingdale, IL 60108
Bloomingdale, IL 60108
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 14D2286334
Swan Primary Care, PLLC · Bloomingdale, 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 Swan Primary Care PLLC's NPI number?
The NPI number for Swan Primary Care PLLC is 1376137083. It was assigned to this organization in the NPPES registry on February 23, 2021.
Where is Swan Primary Care PLLC located?
Swan Primary Care PLLC is located at 303 E Army Trail Rd Ste 111, Bloomingdale, IL 60108. The listed phone number is (630) 931-2929.
What is Swan Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Swan Primary Care PLLC enrolled in Medicare?
Yes. Swan Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Swan Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Swan Primary Care PLLC. 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 (15), Family Practice (2) and Internal Medicine (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Swan Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2286334) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Swan Primary Care PLLC accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Swan Primary Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Swan Primary Care PLLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Swan Primary Care Pllc · NPI 1376137083
Internal Medicine organization in Bloomingdale, Illinois. Organization record, active in the CMS NPPES registry since February 23, 2021.
## Identity
- **NPI:** 1376137083 (Entity type: Organization)
- **Enumerated:** February 23, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sunnan Moinuddin, OWNER
## Practice location
- **Address:** 303 E ARMY TRAIL RD STE 111, Bloomingdale, IL 60108-2140
- **Phone:** (630) 931-2929 · **Fax:** (833) 731-0578
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (2), Internal Medicine (2); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376137083) · Data from the CMS NPPES public registry.