LIFESPAN MEDICAL SERVICES LLC
NPI 1427131382
Internal Medicine - Geriatric Medicine in Dover, DE
About Lifespan Medical Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESPAN MEDICAL SERVICES LLC (NPI 1427131382) is a healthcare organization registered as a geriatric medicine in Dover, Delaware and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Harsha Tankala, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
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)
Lifespan Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Lifespan Medical Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 08D1061979
Lifespan Medical Services LLC · Dover, DEFrequently 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 Lifespan Medical Services LLC's NPI number?
The NPI number for Lifespan Medical Services LLC is 1427131382. It was assigned to this organization in the NPPES registry on October 23, 2006.
Where is Lifespan Medical Services LLC located?
Lifespan Medical Services LLC is located at 1125 Forrest Ave, Dover, DE 19904. The listed phone number is (302) 346-0100.
What is Lifespan Medical Services LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Lifespan Medical Services LLC enrolled in Medicare?
Yes. Lifespan Medical Services LLC is registered in the Medicare PECOS enrollment system.
When is Lifespan Medical Services 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 (Delaware, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Lifespan Medical Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Lifespan Medical Services 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. The largest specialties are Nurse Practitioner (6) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lifespan Medical Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 08D1061979) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lifespan Medical Services LLC accept?
Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Lifespan Medical Services LLC 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 Lifespan Medical Services LLC was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lifespan Medical Services Llc · NPI 1427131382
Geriatric Medicine organization in Dover, Delaware. Organization record, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1427131382 (Entity type: Organization)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Harsha Tankala, OWNER/PRESIDENT
## Practice location
- **Address:** 1125 FORREST AVE, Dover, DE 19904-3483
- **Phone:** (302) 346-0100 · **Fax:** (302) 346-0103
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Delaware, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2018
- **Other identifiers:** Medicaid 1000041898 (DE)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427131382) · Data from the CMS NPPES public registry.