4016 ELMHURST MEDICAL PC
NPI 1497326607
Internal Medicine in Elmhurst, NY
About 4016 Elmhurst Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
4016 ELMHURST MEDICAL PC (NPI 1497326607) is a healthcare organization registered as an internal medicine in Elmhurst, New York and active in the NPI registry since July 2021. The organization lists Choudhury Hasan, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
4016 Elmhurst Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to 4016 Elmhurst Medical PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 4016 Elmhurst Medical PC's NPI number?
The NPI number for 4016 Elmhurst Medical PC is 1497326607. It was assigned to this organization in the NPPES registry on July 8, 2021.
Where is 4016 Elmhurst Medical PC located?
4016 Elmhurst Medical PC is located at 4016 74th St, Elmhurst, NY 11373. The listed phone number is (718) 682-7090.
What is 4016 Elmhurst Medical PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is 4016 Elmhurst Medical PC enrolled in Medicare?
Yes. 4016 Elmhurst Medical PC is registered in the Medicare PECOS enrollment system.
When is 4016 Elmhurst Medical PC'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 (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 4016 Elmhurst Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to 4016 Elmhurst Medical PC, in Family Practice, Internal Medicine and Pediatric Medicine. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 4016 Elmhurst Medical PC was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# 4016 Elmhurst Medical Pc · NPI 1497326607
Internal Medicine organization in Elmhurst, New York. Organization record, active in the CMS NPPES registry since July 8, 2021.
## Identity
- **NPI:** 1497326607 (Entity type: Organization)
- **Enumerated:** July 8, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Choudhury Hasan, MD
## Practice location
- **Address:** 4016 74TH ST, Elmhurst, NY 11373-5602
- **Phone:** (718) 682-7090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Family Practice (1), Pediatric Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497326607) · Data from the CMS NPPES public registry.