WELLNESS MEDICAL CENTER LLC
NPI 1609336627
Family Medicine in Niles, IL
About Wellness Medical Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLNESS MEDICAL CENTER LLC (NPI 1609336627) is a healthcare organization registered as a family medicine in Niles, Illinois and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Olena Gordon, Owner/ Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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)
Wellness Medical Center Llc 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 Wellness Medical Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 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 14D2211823
Wellness Medical Center · Niles, 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 Wellness Medical Center LLC's NPI number?
The NPI number for Wellness Medical Center LLC is 1609336627. It was assigned to this organization in the NPPES registry on March 25, 2019.
Where is Wellness Medical Center LLC located?
Wellness Medical Center LLC is located at 8937 W Golf Rd, Niles, IL 60714. The listed phone number is (248) 842-9353.
What is Wellness Medical Center LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wellness Medical Center LLC enrolled in Medicare?
Yes. Wellness Medical Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellness Medical Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wellness Medical Center LLC, in Family Practice and Nurse Practitioner. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wellness Medical Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2211823) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wellness Medical Center LLC accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Wellness Medical Center LLC 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 Wellness Medical Center LLC was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Wellness Medical Center Llc · NPI 1609336627
Family Medicine organization in Niles, Illinois. Organization record, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1609336627 (Entity type: Organization)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Olena Gordon, OWNER/ PHYSICIAN
## Practice location
- **Address:** 8937 W GOLF RD, Niles, IL 60714-5812
- **Phone:** (248) 842-9353
## 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), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2019
- **Other identifiers:** Medicaid 036131766 (IL); Other F100554988 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609336627) · Data from the CMS NPPES public registry.