LAUREL MEDICAL GROUP, LLC
NPI 1477640696
Internal Medicine in Laurel, DE
About Laurel Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREL MEDICAL GROUP, LLC (NPI 1477640696) is a healthcare organization registered as an internal medicine in Laurel, Delaware and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Antonio Pedro, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Laurel Medical Group, 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 Laurel Medical Group, 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 08D1017270
Laurel Medical Group · Laurel, 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 Laurel Medical Group, LLC's NPI number?
The NPI number for Laurel Medical Group, LLC is 1477640696. It was assigned to this organization in the NPPES registry on October 9, 2006.
Where is Laurel Medical Group, LLC located?
Laurel Medical Group, LLC is located at 1124 S Central Ave, Laurel, DE 19956. The listed phone number is (302) 875-7753.
What is Laurel Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Laurel Medical Group, LLC enrolled in Medicare?
Yes. Laurel Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Laurel Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Laurel Medical Group, LLC, in Internal Medicine and Nephrology. 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 Laurel Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 08D1017270) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Laurel Medical Group, LLC accept?
Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Laurel Medical Group, 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 Laurel Medical Group, LLC was last updated on September 11, 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.
# Laurel Medical Group, Llc · NPI 1477640696
Internal Medicine organization in Laurel, Delaware. Organization record, active in the CMS NPPES registry since October 9, 2006.
## Identity
- **NPI:** 1477640696 (Entity type: Organization)
- **Enumerated:** October 9, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Antonio Pedro, CO-OWNER
## Practice location
- **Address:** 1124 S CENTRAL AVE, Laurel, DE 19956-1418
- **Phone:** (302) 875-7753
## 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: Internal Medicine (1), Nephrology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477640696) · Data from the CMS NPPES public registry.