YONKERS FAMILY PRACTICE, PC
NPI 1497944284
Clinic/Center - Primary Care in Yonkers, NY
About Yonkers Family Practice, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YONKERS FAMILY PRACTICE, PC (NPI 1497944284) is a healthcare organization registered as a primary care in Yonkers, New York and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Khalil Ibrahim Innabi, M.d., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yonkers Family Practice, Pc 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 Yonkers Family Practice, PC, 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 33D0991311
Yonkers Family Practice PC · Yonkers, 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 Yonkers Family Practice, PC's NPI number?
The NPI number for Yonkers Family Practice, PC is 1497944284. It was assigned to this organization in the NPPES registry on October 17, 2007.
Where is Yonkers Family Practice, PC located?
Yonkers Family Practice, PC is located at 45 Ludlow St Suite 700, Yonkers, NY 10705. The listed phone number is (914) 375-2700.
What is Yonkers Family Practice, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Yonkers Family Practice, PC enrolled in Medicare?
Yes. Yonkers Family Practice, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Yonkers Family Practice, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Yonkers Family Practice, PC. 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 Yonkers Family Practice, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0991311) is associated with this NPI, valid through September 17, 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 Yonkers Family Practice, PC was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Yonkers Family Practice, Pc · NPI 1497944284
Primary Care organization in Yonkers, New York. Organization record, active in the CMS NPPES registry since October 17, 2007.
## Identity
- **NPI:** 1497944284 (Entity type: Organization)
- **Enumerated:** October 17, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Khalil Innabi, M.D.
## Practice location
- **Address:** 45 LUDLOW ST, SUITE 700, Yonkers, NY 10705-1947
- **Phone:** (914) 375-2700 · **Fax:** (914) 375-0404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2008
- **Other identifiers:** Medicaid 02041087 (NY); Medicare PIN W59741 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497944284) · Data from the CMS NPPES public registry.