RPS PRIMARY MEDICAL CENTER PLLC
NPI 1417537200
Family Medicine in Kissimmee, FL
About Rps Primary Medical Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RPS PRIMARY MEDICAL CENTER PLLC (NPI 1417537200) is a healthcare organization registered as a family medicine in Kissimmee, Florida and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Maria Otero, Director Business Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Rps Primary Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Rps Primary Medical Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 10D2233811
Rps Primary Medical Center PLLC · Kissimmee, FLFrequently 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 Rps Primary Medical Center PLLC's NPI number?
The NPI number for Rps Primary Medical Center PLLC is 1417537200. It was assigned to this organization in the NPPES registry on April 14, 2021.
Where is Rps Primary Medical Center PLLC located?
Rps Primary Medical Center PLLC is located at 2900 Loopdale Ln, Kissimmee, FL 34741. The listed phone number is (689) 221-0039.
What is Rps Primary Medical Center PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rps Primary Medical Center PLLC enrolled in Medicare?
Yes. Rps Primary Medical Center PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rps Primary Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Rps Primary Medical Center PLLC, in Family Practice 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rps Primary Medical Center PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2233811) is associated with this NPI, valid through August 25, 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 Rps Primary Medical Center PLLC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Rps Primary Medical Center Pllc · NPI 1417537200
Family Medicine organization in Kissimmee, Florida. Organization record, active in the CMS NPPES registry since April 14, 2021.
## Identity
- **NPI:** 1417537200 (Entity type: Organization)
- **Enumerated:** April 14, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Maria Otero, DIRECTOR BUSINESS OPERATIONS
## Practice location
- **Address:** 2900 LOOPDALE LN, Kissimmee, FL 34741-7658
- **Phone:** (689) 221-0039
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417537200) · Data from the CMS NPPES public registry.