BROADWAY MEDICAL CLINIC, SC
NPI 1609207661
Family Medicine in Bellwood, IL
About Broadway Medical Clinic, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROADWAY MEDICAL CLINIC, SC (NPI 1609207661) is a healthcare organization registered as a family medicine in Bellwood, Illinois and active in the NPI registry since December 2013. The organization holds a CLIA Microscopy certificate valid through May 2, 2028 and lists Afsoon Karimi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broadway Medical Clinic, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Broadway Medical Clinic, Sc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 14D0416290
Broadway Medical Clinic S C · Bellwood, ILFrequently 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 Broadway Medical Clinic, Sc's NPI number?
The NPI number for Broadway Medical Clinic, Sc is 1609207661. It was assigned to this organization in the NPPES registry on December 2, 2013.
Where is Broadway Medical Clinic, Sc located?
Broadway Medical Clinic, Sc is located at 4009 Warren Ave, Bellwood, IL 60104. The listed phone number is (708) 343-1300.
What is Broadway Medical Clinic, Sc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Broadway Medical Clinic, Sc enrolled in Medicare?
Yes. Broadway Medical Clinic, Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broadway Medical Clinic, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Broadway Medical Clinic, Sc, in Internal Medicine, Nurse Practitioner 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Broadway Medical Clinic, Sc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0416290) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Broadway Medical Clinic, Sc accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Broadway Medical Clinic, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Broadway Medical Clinic, Sc was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Broadway Medical Clinic, Sc · NPI 1609207661
Family Medicine organization in Bellwood, Illinois. Organization record, active in the CMS NPPES registry since December 2, 2013.
## Identity
- **NPI:** 1609207661 (Entity type: Organization)
- **Enumerated:** December 2, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Afsoon Karimi, OWNER
## Practice location
- **Address:** 4009 WARREN AVE, Bellwood, IL 60104-2066
- **Phone:** (708) 343-1300 · **Fax:** (708) 345-8965
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1), Pediatric Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2025
- **Other identifiers:** Medicaid 036110016 (IL)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1609207661) · Data from the CMS NPPES public registry.