AMPLE URGENT AND PRIMARY CARE LLC
NPI 1497474191
Clinic/Center - Primary Care in West Hartford, CT
About Ample Urgent And Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMPLE URGENT AND PRIMARY CARE LLC (NPI 1497474191) is a healthcare organization registered as a primary care in West Hartford, Connecticut and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Mojdeh Heidari, Owner, 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)
Ample Urgent And Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ample Urgent And Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 07D2280619
Ample Urgent And Primary Care · West Hartford, CTFrequently 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 Ample Urgent And Primary Care LLC's NPI number?
The NPI number for Ample Urgent And Primary Care LLC is 1497474191. It was assigned to this organization in the NPPES registry on August 25, 2022.
Where is Ample Urgent And Primary Care LLC located?
Ample Urgent And Primary Care LLC is located at 10 Princeton St, West Hartford, CT 06110. The listed phone number is (860) 707-5392.
What is Ample Urgent And Primary Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Ample Urgent And Primary Care LLC enrolled in Medicare?
Yes. Ample Urgent And Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ample Urgent And Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ample Urgent And Primary Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ample Urgent And Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2280619) is associated with this NPI, valid through April 23, 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 Ample Urgent And Primary Care LLC was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ample Urgent And Primary Care Llc · NPI 1497474191
Primary Care organization in West Hartford, Connecticut. Organization record, active in the CMS NPPES registry since August 25, 2022.
## Identity
- **NPI:** 1497474191 (Entity type: Organization)
- **Enumerated:** August 25, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mojdeh Heidari, OWNER
## Practice location
- **Address:** 10 PRINCETON ST, West Hartford, CT 06110-1893
- **Phone:** (860) 707-5392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497474191) · Data from the CMS NPPES public registry.