ELMWOOD FAMILY PHYSICIANS
NPI 1578640538
Family Medicine in Marlton, NJ
About Elmwood Family Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELMWOOD FAMILY PHYSICIANS (NPI 1578640538) is a healthcare organization registered as a family medicine in Marlton, New Jersey and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Hetal S Shah, Owner/m.d., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Elmwood Family Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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 Elmwood Family Physicians, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 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.
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 31D1026835
Elmwood Family Physicians LLC · Marlton, NJFrequently 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 Elmwood Family Physicians's NPI number?
The NPI number for Elmwood Family Physicians is 1578640538. It was assigned to this organization in the NPPES registry on November 1, 2006.
Where is Elmwood Family Physicians located?
Elmwood Family Physicians is located at 777 Route 70 East Suite G-101, Marlton, NJ 08053. The listed phone number is (856) 983-9939.
What is Elmwood Family Physicians's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elmwood Family Physicians enrolled in Medicare?
Yes. Elmwood Family Physicians is registered in the Medicare PECOS enrollment system.
When is Elmwood Family Physicians'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 Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Elmwood Family Physicians?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Elmwood Family Physicians. 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 Family Practice (3) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Elmwood Family Physicians hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1026835) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Elmwood Family Physicians was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Elmwood Family Physicians · NPI 1578640538
Family Medicine organization in Marlton, New Jersey. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1578640538 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Hetal Shah, OWNER/M.D.
## Practice location
- **Address:** 777 ROUTE 70 EAST, SUITE G-101, Marlton, NJ 08053-2345
- **Phone:** (856) 983-9939 · **Fax:** (856) 983-9936
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2014
- **Other identifiers:** Medicare UPIN 086404 (NJ); Medicaid 0045021 (NJ); Medicare UPIN O86404
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578640538) · Data from the CMS NPPES public registry.