PRESTIGE CLINICIANS LLC
NPI 1497213755
Clinic/Center - Primary Care in Oakland Park, FL

Active since March 06, 2019CLIA 10D2233286 · Waiver
4513 NW 31ST AVE STE 1, OAKLAND PARK, FL 33309(954) 496-2599(954) 337-0236 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2026, Mar 8, 2024, Jul 22, 2023 and 5 more (8 updates tracked since 2019).

About Prestige Clinicians Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE CLINICIANS LLC (NPI 1497213755) is a healthcare organization registered as a primary care in Oakland Park, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Henry Odazie, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1497213755
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRESTIGE CLINICIANS LLC
Location Address4513 NW 31ST AVE STE 1Oakland Park, FL 33309-3403
Mailing Address4513 Nw 31st Ave Ste 1Oakland Park, FL 33309-3403 · (954) 496-2599 · Fax (954) 337-0236
Fax(954) 337-0236
Organization SubpartNo
Authorized OfficialHenry OdazieAuthorized Official · (954) 669-0401
Enumeration DateMarch 6, 2019
Last NPPES UpdateSeptember 2, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1497213755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4513 NW 31ST AVE STE 1, Oakland Park, FL 33309

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Prestige Clinicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Prestige Clinicians LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Family Practice2
General Practice1
Obstetrics/Gynecology1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1740880848
4513 NW 31ST AVE STE 1
Oakland Park, FL 33309
(954) 496-2599
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699341982
3998 NW 37TH TER
Lauderdale Lakes, FL 33309
(954) 643-1834
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1497183404
4300 N UNIVERSITY DR STE A106
Lauderhill, FL 33351
(786) 273-0728
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1265212765
3800 W BROWARD BLVD STE 101
Fort Lauderdale, FL 33312
(954) 440-0983
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1467959908
4105 PEMBROKE RD
Hollywood, FL 33021
(954) 276-5552
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1033317979
777 GLADES RD RM 240
Boca Raton, FL 33431
(561) 297-3512
✔ PECOS14 mi
Family Practice
NPI 1043462211
10151 ENTERPRISE CTR STE 205
Boynton Beach, FL 33437
(561) 433-5577
✔ PECOS✔ Accepts Medicare24 mi
Obstetrics/Gynecology
NPI 1700037348
109 N DOVERPLUM AVE
Kissimmee, FL 34758
(407) 943-8600
✔ PECOS✔ Accepts Medicare156 mi
General Practice
NPI 1942663364
12902 USF MAGNOLIA DR
Tampa, FL 33612
(754) 261-5599
✔ PECOS✔ Accepts Medicare189 mi
Nurse Practitioner
NPI 1699452912
731 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
(386) 257-1626
✔ PECOS✔ Accepts Medicare215 mi

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 10D2233286

Prestige Clinicians LLC · Oakland Park, FL
Active · expires Aug 22, 2027
CLIA Number10D2233286
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorHenry Odazie
Laboratory Phone(954) 496-2599
Laboratory LocationPrestige Clinicians LLC4513 NW 31st Ave, Oakland Park, FL 33309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Prestige Clinicians LLC's NPI number?

The NPI number for Prestige Clinicians LLC is 1497213755. It was assigned to this organization in the NPPES registry on March 6, 2019.

Where is Prestige Clinicians LLC located?

Prestige Clinicians LLC is located at 4513 NW 31st Ave Ste 1, Oakland Park, FL 33309. The listed phone number is (954) 496-2599.

What is Prestige Clinicians LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Prestige Clinicians LLC enrolled in Medicare?

Yes. Prestige Clinicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prestige Clinicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Prestige Clinicians 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), Family Practice (2) and General Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prestige Clinicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2233286) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prestige Clinicians LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Molina Healthcare list Prestige Clinicians 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 Prestige Clinicians LLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.