FAMILY MEDICINE OF MECHANICVILLE PLLC
NPI 1487898425
Clinic/Center - Primary Care in Mechanicville, NY
About Family Medicine Of Mechanicville Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICINE OF MECHANICVILLE PLLC (NPI 1487898425) is a healthcare organization registered as a primary care in Mechanicville, New York and active in the NPI registry since April 2009. The organization holds a CLIA Microscopy certificate valid through April 9, 2027 and lists Ingrid Bermudez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Family Medicine Of Mechanicville 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 Family Medicine Of Mechanicville PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. 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 for Provider-Performed Microscopy Procedures (PPMP) 33D1098073
Family Medicine Of Mechanicville PLLC · Mechanicville, NYFrequently 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 Family Medicine Of Mechanicville PLLC's NPI number?
The NPI number for Family Medicine Of Mechanicville PLLC is 1487898425. It was assigned to this organization in the NPPES registry on April 21, 2009.
Where is Family Medicine Of Mechanicville PLLC located?
Family Medicine Of Mechanicville PLLC is located at 242 S Central Ave, Mechanicville, NY 12118. The listed phone number is (518) 664-4185.
What is Family Medicine Of Mechanicville PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Family Medicine Of Mechanicville PLLC enrolled in Medicare?
Yes. Family Medicine Of Mechanicville PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medicine Of Mechanicville PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Family Medicine Of Mechanicville 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medicine Of Mechanicville PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D1098073) is associated with this NPI, valid through April 9, 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 Family Medicine Of Mechanicville PLLC was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Family Medicine Of Mechanicville Pllc · NPI 1487898425
Primary Care organization in Mechanicville, New York. Organization record, active in the CMS NPPES registry since April 21, 2009.
## Identity
- **NPI:** 1487898425 (Entity type: Organization)
- **Enumerated:** April 21, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ingrid Bermudez, OWNER
## Practice location
- **Address:** 242 S CENTRAL AVE, Mechanicville, NY 12118-3522
- **Phone:** (518) 664-4185 · **Fax:** (518) 539-2003
## 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 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2009
- **Other identifiers:** Medicare UPIN I41835 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487898425) · Data from the CMS NPPES public registry.