CONCOURSE MEDICAL OFFICE P C
NPI 1568698132
Internal Medicine - Pulmonary Disease in Bronx, NY
About Concourse Medical Office P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONCOURSE MEDICAL OFFICE P C (NPI 1568698132) is a healthcare organization registered as a pulmonary disease in Bronx, New York and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Raji Mohammed Ayinla, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Concourse Medical Office P C 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 Concourse Medical Office P C, 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 of Waiver 33D1022925
Concourse Medical Office PC · Bronx, 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 Concourse Medical Office P C's NPI number?
The NPI number for Concourse Medical Office P C is 1568698132. It was assigned to this organization in the NPPES registry on June 9, 2009.
Where is Concourse Medical Office P C located?
Concourse Medical Office P C is located at 2951 Grand Concourse Suite 1-A, Bronx, NY 10468. The listed phone number is (718) 220-4380.
What is Concourse Medical Office P C's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Concourse Medical Office P C enrolled in Medicare?
Yes. Concourse Medical Office P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Concourse Medical Office P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Concourse Medical Office P C, in Family Practice and Internal 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Concourse Medical Office P C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1022925) is associated with this NPI, valid through August 2, 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 Concourse Medical Office P C was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Concourse Medical Office P C · NPI 1568698132
Pulmonary Disease organization in Bronx, New York. Organization record, active in the CMS NPPES registry since June 9, 2009.
## Identity
- **NPI:** 1568698132 (Entity type: Organization)
- **Enumerated:** June 9, 2009
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Raji Ayinla, PRESIDENT
## Practice location
- **Address:** 2951 GRAND CONCOURSE, SUITE 1-A, Bronx, NY 10468-1431
- **Phone:** (718) 220-4380
## 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), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568698132) · Data from the CMS NPPES public registry.