BAEK PRIMARY CLINIC LLC
NPI 1467214221
Clinic/Center - Primary Care in Aurora, CO
About Baek Primary Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAEK PRIMARY CLINIC LLC (NPI 1467214221) is a healthcare organization registered as a primary care in Aurora, Colorado and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Sujin Baek, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Baek Primary Clinic Llc 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 Baek Primary Clinic LLC, 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 06D2301728
Baek Primary Clinic · Aurora, COFrequently 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 Baek Primary Clinic LLC's NPI number?
The NPI number for Baek Primary Clinic LLC is 1467214221. It was assigned to this organization in the NPPES registry on January 26, 2024.
Where is Baek Primary Clinic LLC located?
Baek Primary Clinic LLC is located at 11275 E Mississippi Ave Ste 1e8, Aurora, CO 80012. The listed phone number is (646) 552-1862.
What is Baek Primary Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Baek Primary Clinic LLC enrolled in Medicare?
Yes. Baek Primary Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Baek Primary Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Baek Primary Clinic 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Baek Primary Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2301728) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Baek Primary Clinic LLC was last updated on January 26, 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.
# Baek Primary Clinic Llc · NPI 1467214221
Primary Care organization in Aurora, Colorado. Organization record, active in the CMS NPPES registry since January 26, 2024.
## Identity
- **NPI:** 1467214221 (Entity type: Organization)
- **Enumerated:** January 26, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Sujin Baek, NP
## Practice location
- **Address:** 11275 E MISSISSIPPI AVE STE 1E8, Aurora, CO 80012-2818
- **Phone:** (646) 552-1862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467214221) · Data from the CMS NPPES public registry.