LONG ISLAND INTERNAL MEDICINE PLLC
NPI 1376880013
Internal Medicine in Astoria, NY

Active since January 15, 2013CLIA 33D2161819 · Waiver
3029 38TH ST, ASTORIA, NY 11103(917) 635-0613(347) 527-2988 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2025, Jun 29, 2021 (2 updates tracked since 2021).

About Long Island Internal Medicine Pllc NPPES

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

LONG ISLAND INTERNAL MEDICINE PLLC (NPI 1376880013) is a healthcare organization registered as an internal medicine in Astoria, New York and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Mukul Khurana, President, as its authorized official.

NPPES Registry Identity

NPI1376880013
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLONG ISLAND INTERNAL MEDICINE PLLC
Location Address3029 38TH STAstoria, NY 11103-3875
Mailing Address3029 38th StAstoria, NY 11103-3875 · (917) 635-0613 · Fax (347) 527-2988
Fax(347) 527-2988
Organization SubpartNo
Authorized OfficialMukul KhuranaPresident · (917) 635-0613
Enumeration DateJanuary 15, 2013
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1376880013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 264609
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3029 38TH ST, Astoria, NY 11103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Internal Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Long Island Internal Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Internal Medicine5
Nurse Practitioner5
Family Practice1
General Practice1
Geriatric Medicine1

Clinicians, nearest first (13)

Internal Medicine
NPI 1144208497
3029 38TH ST
Astoria, NY 11103
(718) 535-7927
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1700150877
2510 30TH AVE
Astoria, NY 11102
(347) 684-3733
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1578795266
2510 30TH AVE
Long Island City, NY 11102
(718) 932-1000
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1043252885
2510 30TH AVE
Astoria, NY 11102
(718) 267-4245
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1750878450
34-29 83RD STREET
Jackson Heights, NY 11372
(718) 424-7800
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1063758860
34-29 83RD STREET
Jackson Heights, NY 11372
(718) 424-7800
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1316307457
34-29 83RD STREET
Jackson Heights, NY 11372
(718) 424-7800
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1326533696
234 E 85TH ST
New York, NY 10028
(212) 241-6585
✔ PECOS✔ Accepts Medicare2.2 mi
Internal Medicine
NPI 1558353763
65-11 BOOTH STREET SUITE 1C
Rego Park, NY 11374
(718) 806-1434
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1093596785
104-20 68TH DR. APT AA03
Forest Hills, NY 11375
(347) 445-1190
✔ PECOS✔ Accepts Medicare4.5 mi
Internal Medicine
NPI 1124705165
1657 SUNSET AVE
Utica, NY 13502
(315) 797-7392
✔ PECOS✔ Accepts Medicare175 mi
General Practice
NPI 1831859479
835 S WOLCOTT AVE
Chicago, IL 60612
(312) 996-7420
✔ PECOS719 mi
Internal Medicine
NPI 1376169730
16850 BEAR VALLEY RD
Victorville, CA 92395
(760) 241-8000
✔ PECOS2,394 mi

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 33D2161819

Long Island Internal Medicine PLLC · Astoria, NY
Active · expires Feb 11, 2027
CLIA Number33D2161819
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorDr. Mukul Khurana
Laboratory Phone(718) 535-7927
Laboratory LocationLong Island Internal Medicine PLLC30-29 38th Street, Astoria, NY 11103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Long Island Internal Medicine PLLC's NPI number?

The NPI number for Long Island Internal Medicine PLLC is 1376880013. It was assigned to this organization in the NPPES registry on January 15, 2013.

Where is Long Island Internal Medicine PLLC located?

Long Island Internal Medicine PLLC is located at 3029 38th St, Astoria, NY 11103. The listed phone number is (917) 635-0613.

What is Long Island Internal Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Long Island Internal Medicine PLLC enrolled in Medicare?

Yes. Long Island Internal Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Internal Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Long Island Internal Medicine 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 Internal Medicine (5), Nurse Practitioner (5) and Family Practice (1). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Long Island Internal Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2161819) is associated with this NPI, valid through February 11, 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 Long Island Internal Medicine PLLC was last updated on September 17, 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.